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Hemorrhoid 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.

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CPT 46221: Ligation of Hemorrhoid(S)

105 hospitals in 33 markets. National Medicare rate $950, surgery center $238.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$2,360–$3,320
Austin TX2———$926–$3,456
Boston MA7$1,292$1,408$1,533$1,254–$1,785
California (statewide)1———$7,068–$7,068
Chicago IL7$1,174$2,128$2,510$1,017–$3,076
Cleveland OH5$2,744$2,762$2,794$1,486–$2,860
Dallas-Fort Worth TX4———$1,700–$2,850
Denver CO7$1,532$2,058$2,147$1,320–$2,232
Detroit MI6$491$578$794$491–$2,423
Georgia (statewide)1———$3,590–$3,590
Houston TX1———$3,890–$3,890
Indianapolis IN2———$514–$1,008
Kansas (statewide)1———$2,794–$2,794
Las Vegas NV2———$1,692–$2,175
Los Angeles CA2———$3,628–$6,417
Miami-Fort Lauderdale FL2———$1,512–$2,121
Nashville TN4———$1,127–$2,870
New York (statewide)1———$4,411–$4,411
New York City2———$987–$6,091
Ohio (statewide)1———$1,835–$1,835
Philadelphia PA5$1,810$5,051$6,185$1,768–$6,872
Phoenix AZ3———$2,000–$2,032
Pittsburgh PA1———$4,387–$4,387
Portland OR6$3,752$4,832$4,832$3,392–$4,832
Richmond VA2———$3,138–$3,138
San Antonio TX1———$1,934–$1,934
San Diego CA1———$1,196–$1,196
San Francisco Bay Area CA3———$6,639–$8,967
Seattle-Tacoma WA6$3,245$3,316$3,408$2,781–$3,415
St. Louis MO6$2,136$3,783$5,912$1,925–$6,188
Tampa FL2———$1,377–$2,248
Washington DC6$2,304$2,434$2,463$2,210–$2,489
Wisconsin (statewide)1———$1,898–$1,898
HospitalMarketMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$4910.5×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$4910.5×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$4910.5×12026-05-01
Ascension St Vincent AndersonIndianapolis IN$5140.5×12026-01-01
Trinity Health Oakland HospitalDetroit MI$6640.7×162026-03-31
Henry Ford Health Rochester HospitalDetroit MI$8380.9×22026-01-01
Ascension Seton Medical Center AustinAustin TX$9261.0×22026-01-01
Montefiore Medical CenterNew York City$9870.8×82026-04-01
Hendricks Regional HealthIndianapolis IN$1,0081.0×12026-05-20
Endeavor Health Northwest Community HospitalChicago IL$1,0171.0×32026-04-01
Endeavor Health Evanston HospitalChicago IL$1,0741.1×32026-04-01
Vanderbilt University Medical CenterNashville TN$1,1271.3×82025-10-01
Scripps Green HospitalSan Diego CA$1,1961.0×12026-03-30
New England Baptist HospitalBoston MA$1,2541.1×42026-04-01
Endeavor Health Edward HospitalChicago IL$1,2731.3×22026-04-01
Anna Jaques HospitalBoston MA$1,2881.2×32026-04-01
Winchester HospitalBoston MA$1,2961.2×32026-04-01
Adventhealth PorterDenver CO$1,3201.4×42026-04-01
Adventhealth ParkerDenver CO$1,3201.4×42026-04-01
Tampa General HospitalTampa FL$1,3771.4×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$1,4081.3×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,4201.3×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$1,4861.7×32026-07-14
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$1,5121.6×52026-03-13
Ascension Saint Thomas RutherfordNashville TN$1,5461.7×22026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,6141.8×32026-01-01
Beverly Hospital CorporationBoston MA$1,6461.5×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$1,6921.7×72026-07-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$1,7001.8×22026-04-21
UCHealth University of Colorado HospitalDenver CO$1,7441.8×32025-11-01
Riddle Memorial HospitalPhiladelphia PA$1,7681.9×22026-04-01
Beth Israel Deaconess Medical CenterBoston MA$1,7851.6×12026-04-01
Bryn Mawr HospitalPhiladelphia PA$1,8101.9×22026-04-01
Bethesda NorthOhio (statewide)$1,8352.0×42026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$1,8982.0×32026-01-01
Barnes-Jewish St Peters HospitalSt. Louis MO$1,9252.1×52025-12-15
Methodist HospitalSan Antonio TX$1,9342.1×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,0002.0×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,0002.0×52026-04-01
Mercy Hospital St LouisSt. Louis MO$2,0222.2×12026-06-04
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,0322.0×42026-04-01
HCA HealthONE SwedishDenver CO$2,0582.1×42026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$2,1212.2×32026-06-15
HCA HealthONE Presbyterian/St. Luke'sDenver CO$2,1242.2×42026-09-01
Endeavor Health Elmhurst HospitalChicago IL$2,1282.1×22026-04-01
HCA HealthONE Sky RidgeDenver CO$2,1702.2×42026-09-01
Henderson HospitalLas Vegas NV$2,1752.2×42026-09-01
George Washington Univ HospitalWashington DC$2,2102.0×32026-09-01
Hca Healthone RoseDenver CO$2,2322.3×42026-09-01
Morton Plant HospitalTampa FL$2,2482.3×22026-01-01
Medstar Washington Hospital CenterWashington DC$2,2612.1×42026-04-01
Piedmont Atlanta HospitalAtlanta GA$2,3602.5×52026-07-01
Piedmont Fayette HospitalAtlanta GA$2,3602.5×52026-07-01
Piedmont Newnan HospitalAtlanta GA$2,3602.5×52026-07-01
Loyola University Medical CenterChicago IL$2,3632.4×22026-03-31
Harper University HospitalDetroit MI$2,4232.6×22026-09-02
Reston Hospital CenterWashington DC$2,4322.5×42026-09-01
Stonesprings Hospital CenterWashington DC$2,4362.5×42026-09-01
Medstar Georgetown University HospitalWashington DC$2,4722.3×12026-04-01
Mercy Hospital SouthSt. Louis MO$2,4802.7×12026-06-10
Inova Alexandria HospitalWashington DC$2,4892.6×62026-04-01
Rush University Medical CenterChicago IL$2,6572.7×22026-09-25
Medina HospitalCleveland OH$2,7443.1×42026-06-15
Cleveland Clinic (main campus)Cleveland OH$2,7623.1×42026-06-16
Overlake Hospital Medical CenterSeattle-Tacoma WA$2,7812.6×52026-04-01
Menorah Medical CenterKansas (statewide)$2,7943.2×52026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$2,7943.2×32026-06-15
Medical City PlanoDallas-Fort Worth TX$2,8083.0×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$2,8083.0×52026-09-01
Baylor University Medical CenterDallas-Fort Worth TX$2,8503.0×32026-06-29
Cleveland Clinic Hillcrest HospitalCleveland OH$2,8603.3×32026-06-15
TriStar StoneCrest Medical CenterNashville TN$2,8703.2×52026-09-01
University of Chicago Medical CenterChicago IL$3,0763.1×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$3,1383.5×42026-09-01
Henrico Doctors' HospitalRichmond VA$3,1383.5×42026-09-01
St Clare HospitalSeattle-Tacoma WA$3,2453.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$3,2453.0×62026-02-28
Emory University HospitalAtlanta GA$3,3203.6×62026-04-01
Swedish Medical CenterSeattle-Tacoma WA$3,3873.1×52026-04-01
Providence St Vincent Medical CenterPortland OR$3,3923.3×22026-04-01
Providence Portland Medical CenterPortland OR$3,3923.3×22026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$3,4153.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$3,4153.1×72026-08-27
St David's Medical CenterAustin TX$3,4563.7×52026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$3,5904.4×32026-04-01
Keck Hospital Of UscLos Angeles CA$3,6283.0×52026-04-01
Houston Methodist HospitalHouston TX$3,8904.2×32026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$4,3874.8×12026-03-06
Stony Brook University HospitalNew York (statewide)$4,4113.8×52026-06-10
Legacy Emanuel Medical CenterPortland OR$4,8324.7×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$4,8324.7×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$4,8324.7×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$4,8324.7×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$5,0515.3×32026-09-15
Barnes Jewish HospitalSt. Louis MO$5,0865.5×12025-12-15
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$6,0915.3×72026-01-01
Jefferson Stratford HospitalPhiladelphia PA$6,1855.9×32026-09-15
Missouri Baptist Medical CenterSt. Louis MO$6,1886.7×42025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$6,1886.7×42025-12-15
Cedars-Sinai Medical CenterLos Angeles CA$6,4175.4×12025-11-26
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$6,6395.1×42026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$6,6395.1×42026-03-23
Inspira Medical Center Mullica HillPhiladelphia PA$6,8726.6×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,0685.9×42026-09-01
Stanford Health CareSan Francisco Bay Area CA$8,9676.5×22026-04-01

Questions

How much do commercial insurers pay hospitals for hemorrhoid banding?

Across 105 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 46221, hospital outpatient is $2,360, 2.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,646 to $3,387. 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: Corewell Health Beaumont Grosse Pointe Hospital ($491), Corewell Health William Beaumont University Hospit ($491), Corewell Health Beaumont Troy Hospital ($491). Highest: Stanford Health Care ($8,967), Los Robles Hospital & Medical Center ($7,068), Inspira Medical Center Mullica Hill ($6,872). Coverage is limited to the markets listed on this page.