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Anal fistula surgery in Missouri: what insurers pay

Posted commercial rates at 3 Missouri hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 46270

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Hospital St Louis Saint Louis$2,0220.7×12026-06-04
Mercy Hospital South Saint Louis$2,0220.7×12026-06-10
Mercy Hospital Jefferson Festus$4,9531.8×12026-06-10

CPT 46275

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Hospital St Louis Saint Louis$4,9531.8×12026-06-04
Mercy Hospital South Saint Louis$4,9531.8×12026-06-10

Questions

How much do insurers pay for anal fistula surgery in Missouri?

3 Missouri hospitals post usable commercial rates for anal fistula surgery in their federal price-transparency files. For CPT 46270, hospital outpatient, the median across 3 hospitals is $2,022, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.