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Anal fistula surgery in West Virginia: what insurers pay

Posted commercial rates at 7 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 46270

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$3,0441.1×12026-01-01
Wheeling Hospital, Inc Wheeling$3,8361.4×42026-07-09
Camden Clark Medical Center Parkersburg$4,6371.7×12026-07-09
Berkeley Medical Center Martinsburg$4,6751.8×12026-07-09
Thomas Memorial Hospital South Charleston$9,0233.4×22026-07-10
St Mary'S Medical Center Huntington$11,1034.2×22026-01-01
Logan Regional Medical Center Logan$18,4796.9×12026-04-01

CPT 46275

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$3,0441.1×12026-01-01
Wheeling Hospital, Inc Wheeling$3,8361.4×42026-07-09
Thomas Memorial Hospital South Charleston$9,0233.4×22026-07-10
St Mary'S Medical Center Huntington$11,1034.2×22026-01-01
Logan Regional Medical Center Logan$18,4796.9×12026-04-01

Questions

How much do insurers pay for anal fistula surgery in West Virginia?

7 West Virginia hospitals post usable commercial rates for anal fistula surgery in their federal price-transparency files. For CPT 46270, hospital outpatient, the median across 7 hospitals is $4,675, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.