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Anal fistula surgery in New York: what insurers pay

Posted commercial rates at 3 New York 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
Montefiore Medical Center Bronx$4,2541.2×82026-04-01
Stony Brook University Hospital Stony Brook$5,7831.7×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,0252.6×72026-01-01

CPT 46275

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$5,7791.7×82026-04-01
Stony Brook University Hospital Stony Brook$5,7831.7×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,0252.6×72026-01-01

Questions

How much do insurers pay for anal fistula surgery in New York?

3 New York 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 $5,783, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.