Price AtlasInteractive atlas · All states · techysurgeon.comHemorrhoid banding: what insurers pay
Rubber band ligation of internal hemorrhoids in the office. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 46221: Hemorrhoid Banding
1266 hospitals in 78 markets. National Medicare rate $950, surgery center $238.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $971 | $1,073 | $1,626 | $440–$2,670 |
| Alaska (statewide) | 5 | $690 | $1,516 | $4,590 | $690–$4,779 |
| Arizona (statewide) | 8 | $1,490 | $1,946 | $2,776 | $591–$3,945 |
| Arkansas (statewide) | 11 | $788 | $1,153 | $1,306 | $621–$2,268 |
| Atlanta GA | 10 | $2,360 | $3,106 | $3,320 | $2,360–$3,320 |
| Austin TX | 13 | $906 | $1,397 | $2,441 | $884–$2,441 |
| Boston MA | 14 | $1,266 | $1,601 | $1,738 | $745–$1,980 |
| California (statewide) | 65 | $1,667 | $2,690 | $3,450 | $645–$7,068 |
| Charlotte NC | 5 | $1,084 | $1,084 | $1,084 | $1,069–$1,084 |
| Chicago IL | 9 | $1,273 | $2,363 | $3,074 | $1,017–$3,558 |
| Cleveland OH | 11 | $1,934 | $2,276 | $2,348 | $1,640–$2,545 |
| Colorado (statewide) | 20 | $1,041 | $1,972 | $2,350 | $500–$3,702 |
| Connecticut (statewide) | 3 | — | — | — | $1,194–$3,875 |
| Dallas-Fort Worth TX | 14 | $1,830 | $1,901 | $2,012 | $1,830–$2,501 |
| Denver CO | 15 | $1,414 | $2,368 | $2,806 | $1,083–$3,702 |
| Detroit MI | 12 | $491 | $578 | $802 | $491–$3,791 |
| Florida (statewide) | 66 | $1,950 | $2,248 | $2,535 | $514–$7,541 |
| Georgia (statewide) | 41 | $1,917 | $2,438 | $3,098 | $450–$3,868 |
| Hawaii (statewide) | 4 | — | — | — | $764–$2,268 |
| Houston TX | 19 | $1,775 | $2,128 | $2,589 | $1,370–$3,737 |
| Idaho (statewide) | 19 | $903 | $1,316 | $2,306 | $540–$2,769 |
| Illinois (statewide) | 35 | $1,316 | $1,664 | $2,266 | $523–$3,811 |
| Indiana (statewide) | 37 | $1,222 | $1,773 | $3,331 | $514–$6,427 |
| Indianapolis IN | 2 | — | — | — | $514–$1,008 |
| Iowa (statewide) | 35 | $808 | $1,446 | $1,998 | $474–$3,778 |
| Kansas (statewide) | 31 | $1,540 | $1,708 | $2,288 | $617–$4,779 |
| Kentucky (statewide) | 15 | $1,334 | $1,443 | $1,768 | $1,100–$2,542 |
| Las Vegas NV | 2 | — | — | — | $1,588–$2,516 |
| Los Angeles CA | 18 | $2,544 | $2,686 | $3,021 | $1,667–$6,417 |
| Louisiana (statewide) | 20 | $827 | $1,004 | $1,302 | $540–$3,139 |
| Maine (statewide) | 16 | $3,736 | $4,240 | $4,337 | $920–$5,453 |
| Maryland (statewide) | 1 | — | — | — | $698–$698 |
| Massachusetts (statewide) | 8 | $1,360 | $1,705 | $2,130 | $852–$2,322 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $971–$1,912 |
| Michigan (statewide) | 20 | $709 | $922 | $1,000 | $491–$1,940 |
| Minneapolis-St. Paul MN | 6 | $2,192 | $2,240 | $2,240 | $1,897–$2,240 |
| Minnesota (statewide) | 13 | $2,108 | $2,422 | $2,818 | $744–$3,379 |
| Mississippi (statewide) | 17 | $879 | $1,136 | $1,606 | $648–$2,536 |
| Missouri (statewide) | 20 | $1,816 | $2,426 | $2,919 | $1,197–$6,897 |
| Montana (statewide) | 6 | $1,860 | $2,288 | $2,699 | $1,632–$3,109 |
| Nashville TN | 8 | $1,222 | $2,004 | $2,462 | $1,158–$2,462 |
| Nebraska (statewide) | 22 | $757 | $1,864 | $2,446 | $491–$6,353 |
| Nevada (statewide) | 4 | — | — | — | $1,474–$2,516 |
| New Hampshire (statewide) | 6 | $2,842 | $3,200 | $3,634 | $2,259–$4,164 |
| New Jersey (statewide) | 23 | $2,201 | $2,757 | $3,178 | $985–$6,872 |
| New Mexico (statewide) | 7 | $1,079 | $1,700 | $2,224 | $768–$2,915 |
| New York (statewide) | 36 | $1,387 | $1,820 | $2,269 | $747–$4,411 |
| New York City | 8 | $1,637 | $1,715 | $2,243 | $1,024–$5,096 |
| North Carolina (statewide) | 6 | $1,040 | $1,887 | $2,581 | $903–$2,754 |
| North Dakota (statewide) | 6 | $1,586 | $1,725 | $2,025 | $676–$5,002 |
| Ohio (statewide) | 42 | $1,708 | $2,222 | $3,176 | $522–$4,300 |
| Oklahoma (statewide) | 18 | $1,464 | $1,894 | $2,046 | $950–$3,256 |
| Oregon (statewide) | 15 | $1,052 | $2,089 | $3,086 | $748–$4,218 |
| Pennsylvania (statewide) | 29 | $1,534 | $1,924 | $2,621 | $561–$4,112 |
| Philadelphia PA | 11 | $1,805 | $2,355 | $4,018 | $1,466–$6,872 |
| Phoenix AZ | 8 | $2,000 | $2,016 | $2,056 | $2,000–$2,130 |
| Pittsburgh PA | 10 | $1,595 | $1,809 | $2,018 | $1,196–$2,634 |
| Portland OR | 9 | $3,517 | $3,998 | $3,998 | $3,517–$4,114 |
| Rhode Island (statewide) | 6 | $1,084 | $1,511 | $2,277 | $884–$2,630 |
| Richmond VA | 3 | — | — | — | $2,772–$3,138 |
| Rio Grande Valley TX | 4 | — | — | — | $1,301–$2,650 |
| Salt Lake City UT | 9 | $757 | $757 | $766 | $743–$786 |
| San Antonio TX | 3 | — | — | — | $1,456–$2,016 |
| San Diego CA | 7 | $2,033 | $2,033 | $2,046 | $1,710–$2,206 |
| San Francisco Bay Area CA | 6 | $2,581 | $3,487 | $4,452 | $2,403–$8,967 |
| Seattle-Tacoma WA | 16 | $2,658 | $2,874 | $3,046 | $2,457–$3,387 |
| South Carolina (statewide) | 30 | $1,568 | $2,082 | $2,965 | $597–$4,604 |
| South Dakota (statewide) | 6 | $916 | $1,844 | $3,763 | $674–$4,649 |
| St. Louis MO | 8 | $1,635 | $3,528 | $5,228 | $1,241–$5,685 |
| Tampa FL | 6 | $2,248 | $2,248 | $2,248 | $1,457–$4,633 |
| Tennessee (statewide) | 26 | $1,274 | $1,350 | $1,762 | $875–$2,682 |
| Texas (statewide) | 73 | $1,301 | $1,901 | $2,017 | $746–$5,496 |
| Utah (statewide) | 8 | $746 | $794 | $1,109 | $524–$1,940 |
| Virginia (statewide) | 21 | $3,152 | $3,408 | $3,656 | $1,692–$4,794 |
| Washington (statewide) | 14 | $2,296 | $2,511 | $3,054 | $572–$4,976 |
| Washington DC | 11 | $2,190 | $2,210 | $2,448 | $2,089–$2,826 |
| West Virginia (statewide) | 12 | $1,344 | $1,560 | $3,026 | $588–$6,191 |
| Wisconsin (statewide) | 43 | $1,975 | $2,052 | $3,352 | $489–$5,220 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $440 | 0.5× | 1 | 2026-04-30 |
| Memorial Hospital And Manor | Georgia (statewide) | $450 | 0.6× | 1 | 2026-05-01 |
| Usa Health University Hospital | Alabama (statewide) | $458 | 0.6× | 2 | 2026-04-30 |
| Hancock County Health System | Iowa (statewide) | $474 | 0.5× | 1 | 2026-06-30 |
| Clarinda Regional Health Center | Iowa (statewide) | $482 | 0.5× | 2 | 2026-07-13 |
| Edgerton Hospital And Health Services | Wisconsin (statewide) | $489 | 0.5× | 1 | 2026-07-19 |
| Corewell Health Dearborn Hospital | Detroit MI | $491 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $491 | 0.5× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $491 | 0.5× | 2 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $491 | 0.5× | 2 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $491 | 0.5× | 2 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $491 | 0.5× | 2 | 2026-05-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $6,191 | 6.9× | 1 | 2026-04-01 |
| Hackensack University Medical Center | New Jersey (statewide) | $6,247 | 5.7× | 4 | 2025-12-31 |
| Chi Health St Francis | Nebraska (statewide) | $6,353 | 6.6× | 6 | 2026-02-28 |
| Cedars-Sinai Medical Center | Los Angeles CA | $6,417 | 5.4× | 1 | 2025-11-26 |
| Dukes Memorial Hospital | Indiana (statewide) | $6,427 | 6.5× | 6 | 2026-04-01 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $6,812 | 5.7× | 5 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $6,872 | 6.6× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $6,872 | 6.6× | 1 | 2026-03-24 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 7.4× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,068 | 5.9× | 4 | 2026-09-01 |
| Holy Cross Hospital | Florida (statewide) | $7,541 | 7.8× | 22 | 2026-03-31 |
| Stanford Health Care | San Francisco Bay Area CA | $8,967 | 6.5× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for hemorrhoid banding?
Across 1266 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 46221, hospital outpatient is $2,012, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,301 to $2,728. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for hemorrhoid banding?
Medicare's national hospital outpatient rate for CPT 46221 is $950 and its surgery-center rate is $238, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for hemorrhoid banding?
Lowest medians: Usa Health Children'S & Women'S Hospital ($440), Memorial Hospital And Manor ($450), Usa Health University Hospital ($458). Highest: Stanford Health Care ($8,967), Holy Cross Hospital ($7,541), Los Robles Hospital & Medical Center ($7,068). Coverage: every hospital whose price file we could read.