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Anal fistula surgery in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania 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
Riddle Memorial Hospital Media$4,4201.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6421.6×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1723.2×32026-09-15

CPT 46275

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$4,4201.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6421.6×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$5,0311.9×12026-03-06
Lehigh Valley Hospital Allentown$9,1283.2×82026-07-01
Thomas Jefferson University Hospital Philadelphia$9,1723.2×32026-09-15

Questions

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

5 Pennsylvania 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 $4,642, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.