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Anal fistula surgery in New York: what insurers pay

Posted commercial rates at 41 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
United Memorial Medical Center Batavia$1,8130.5×12026-04-01
Strong Memorial Hospital Rochester$2,0680.6×52026-07-01
Nassau University Medical Center East Meadow$2,0700.6×32025-10-28
Bronxcare Hospital Center Bronx$2,3900.7×62026-05-05
Harlem Hospital Center New York$3,0180.9×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$3,2050.9×82026-09-05
Jacobi Medical Center Bronx$3,2050.9×82026-09-05
Elmhurst Hospital Center Elmhurst$3,2050.9×82026-09-05
South Brooklyn Health Brooklyn$3,2050.9×82026-09-05
Metropolitan Hospital Center New York$3,2050.9×82026-09-05
Kings County Hospital Center Brooklyn$3,2050.9×82026-09-05
Bellevue Hospital Center New York$3,2050.9×82026-09-05
Queens Hospital Center Jamaica$3,2050.9×82026-09-05
Jamaica Hospital Medical Center Jamaica$3,5351.0×102026-03-25
Oneida Health Oneida$3,5681.0×72026-09-27
Glens Falls Hospital Glens Falls$3,5721.0×32025-12-31
Garnet Health Medical Center Middletown$3,5861.0×122026-04-01
Wynn Hospital Utica$3,7771.1×152026-08-07
Garnet Health Medical Center Catskills Harris$3,8271.1×102026-04-01
Flushing Hospital Medical Center Flushing$3,8521.1×102026-03-25
Saratoga Hospital Saratoga Springs$4,3541.3×22025-12-31
Columbia Memorial Hospital Hudson$4,6601.3×22025-12-31
Erie County Medical Center Buffalo$4,9001.4×62026-08-25
Montefiore Medical Center Bronx$4,9561.4×142026-04-01
Highland Hospital Rochester$4,9761.4×42026-07-01
St Joseph'S Medical Center Yonkers$5,5841.6×12026-07-13
Stony Brook University Hospital Stony Brook$5,7831.7×52026-06-10
Maimonides Medical Center Brooklyn$5,8081.7×72026-04-01
Jones Memorial Hospital Wellsville$5,9541.7×72026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$6,0561.8×102026-04-01
Geneva General Hospital Geneva$6,1131.8×32026-08-27
Samaritan Hospital Troy$6,1811.8×242026-03-31
Crouse Hospital Syracuse$6,2221.8×32026-05-19
Samaritan Medical Center Watertown$6,9592.0×42026-02-02
Roswell Park Cancer Institute Buffalo$6,9882.0×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$7,1002.0×62026-01-01
Albany Medical Center Hospital Albany$7,3262.1×62025-12-31
St James Hospital Hornell$8,0972.3×62026-01-01
Corning Hospital Corning$8,2272.4×42026-03-31
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$8,7262.5×92026-01-01
Medina Memorial Hospital Medina$9,8832.9×22026-07-29

CPT 46275

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$1,8930.6×12026-04-01
Strong Memorial Hospital Rochester$2,0530.6×52026-07-01
Nassau University Medical Center East Meadow$2,0700.6×32025-10-28
Bronxcare Hospital Center Bronx$2,3900.7×62026-05-05
Metropolitan Hospital Center New York$2,5380.7×52026-09-05
Harlem Hospital Center New York$3,0180.9×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$3,2050.9×82026-09-05
Jacobi Medical Center Bronx$3,2050.9×82026-09-05
Elmhurst Hospital Center Elmhurst$3,2050.9×82026-09-05
South Brooklyn Health Brooklyn$3,2050.9×82026-09-05
Kings County Hospital Center Brooklyn$3,2050.9×82026-09-05
Bellevue Hospital Center New York$3,2050.9×82026-09-05
Queens Hospital Center Jamaica$3,2050.9×82026-09-05
Saratoga Hospital Saratoga Springs$3,2450.9×12025-12-31
Glens Falls Hospital Glens Falls$3,5041.0×32025-12-31
Jamaica Hospital Medical Center Jamaica$3,5351.0×102026-03-25
Oneida Health Oneida$3,5681.0×72026-09-27
Garnet Health Medical Center Middletown$3,5861.0×122026-04-01
Garnet Health Medical Center Catskills Harris$3,8271.1×102026-04-01
Flushing Hospital Medical Center Flushing$3,8521.1×102026-03-25
Columbia Memorial Hospital Hudson$4,8681.4×12025-12-31
Erie County Medical Center Buffalo$4,9001.4×62026-08-25
Highland Hospital Rochester$4,9761.4×42026-07-01
St Joseph'S Medical Center Yonkers$5,5841.6×12026-07-13
Stony Brook University Hospital Stony Brook$5,7831.7×52026-06-10
Maimonides Medical Center Brooklyn$5,8081.7×72026-04-01
Albany Medical Center Hospital Albany$5,9061.7×42025-12-31
Jones Memorial Hospital Wellsville$5,9541.7×72026-01-01
Geneva General Hospital Geneva$6,1131.8×32026-08-27
Crouse Hospital Syracuse$6,2221.8×32026-05-19
Montefiore Mount Vernon Hospital Mount Vernon$6,4481.9×102026-04-01
Montefiore Medical Center Bronx$6,6711.9×142026-04-01
Samaritan Medical Center Watertown$6,9592.0×42026-02-02
Roswell Park Cancer Institute Buffalo$6,9882.0×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$7,1002.0×62026-01-01
St James Hospital Hornell$8,0972.3×62026-01-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$8,7262.5×92026-01-01
Medina Memorial Hospital Medina$9,8832.9×22026-07-29

Questions

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

41 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 41 hospitals is $4,354, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.