Surgical removal of internal and external hemorrhoids: one group (46255) or two or more (46260). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
93 hospitals in 33 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,395–$4,975 |
| Austin TX | 2 | — | — | — | $2,250–$5,926 |
| Boston MA | 7 | $3,555 | $3,743 | $4,198 | $3,298–$5,596 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $4,200 | $4,897 | $5,636 | $3,751–$7,210 |
| Cleveland OH | 5 | $5,248 | $5,685 | $6,438 | $3,174–$6,612 |
| Dallas-Fort Worth TX | 4 | — | — | — | $5,978–$8,938 |
| Denver CO | 7 | $3,431 | $4,558 | $4,698 | $2,452–$5,980 |
| Detroit MI | 6 | $3,347 | $3,347 | $3,454 | $3,238–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $5,506–$5,506 |
| Las Vegas NV | 1 | — | — | — | $3,272–$3,272 |
| Los Angeles CA | 2 | — | — | — | $10,163–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,048–$6,048 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,715–$3,715 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $6,671–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $6,344–$6,344 |
| Pennsylvania (statewide) | 1 | — | — | — | $9,128–$9,128 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,418–$3,770 |
| Portland OR | 6 | $10,273 | $10,273 | $11,538 | $10,273–$11,960 |
| Richmond VA | 2 | — | — | — | $6,342–$6,342 |
| San Antonio TX | 1 | — | — | — | $5,087–$5,087 |
| San Diego CA | 1 | — | — | — | $3,570–$3,570 |
| San Francisco Bay Area CA | 2 | — | — | — | $20,580–$22,041 |
| Seattle-Tacoma WA | 6 | $8,714 | $9,431 | $10,376 | $7,467–$11,194 |
| St. Louis MO | 3 | — | — | — | $2,022–$2,022 |
| Tampa FL | 2 | — | — | — | $3,812–$8,201 |
| Washington DC | 3 | — | — | — | $4,156–$5,955 |
| Wisconsin (statewide) | 1 | — | — | — | $4,744–$4,744 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital St Louis | St. Louis MO | $2,022 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $2,022 | 0.7× | 1 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $2,022 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $2,250 | 0.8× | 1 | 2026-01-01 |
| Adventhealth Porter | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 1.0× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,715 | 1.0× | 7 | 2025-10-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,174 | 1.2× | 4 | 2026-07-14 |
| Mclaren Port Huron | Detroit MI | $3,238 | 1.2× | 1 | 2025-12-31 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,272 | 1.1× | 7 | 2026-07-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,298 | 1.0× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 1.1× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $3,476 | 1.0× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,489 | 1.3× | 1 | 2026-01-01 |
| Scripps Green Hospital | San Diego CA | $3,570 | 1.0× | 1 | 2026-03-30 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.4× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $3,634 | 1.1× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,715 | 1.3× | 3 | 2026-03-31 |
| Winchester Hospital | Boston MA | $3,743 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 1.3× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,770 | 1.3× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,770 | 1.3× | 5 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $3,863 | 1.2× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.5× | 6 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $4,156 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $4,164 | 1.4× | 4 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,200 | 1.4× | 2 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $4,410 | 1.5× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.6× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $4,533 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,558 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $4,633 | 1.6× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.6× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,744 | 1.7× | 3 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $4,762 | 1.6× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,897 | 1.6× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $4,975 | 1.8× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 2.1× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,087 | 1.8× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $5,248 | 2.0× | 2 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $5,506 | 2.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $5,596 | 1.7× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.9× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,685 | 2.2× | 1 | 2026-06-15 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.7× | 5 | 2026-06-10 |
| Harper University Hospital | Detroit MI | $5,812 | 2.1× | 1 | 2026-09-02 |
| St David's Medical Center | Austin TX | $5,926 | 2.1× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $5,955 | 2.1× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $5,978 | 2.1× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 2.0× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 2.1× | 3 | 2026-06-15 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 2.2× | 3 | 2026-06-29 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $6,344 | 2.4× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,438 | 2.5× | 1 | 2026-06-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,612 | 2.5× | 3 | 2026-06-16 |
| Montefiore Medical Center | New York City | $6,671 | 1.9× | 8 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $6,794 | 2.4× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $7,210 | 2.4× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 2.4× | 3 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $7,467 | 2.3× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $8,201 | 2.8× | 3 | 2026-01-01 |
| St Clare Hospital | Seattle-Tacoma WA | $8,676 | 2.7× | 7 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $8,830 | 2.7× | 7 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $8,938 | 3.2× | 2 | 2026-04-21 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 2.6× | 7 | 2026-01-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $9,128 | 3.2× | 8 | 2026-07-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 3.2× | 3 | 2026-09-15 |
| Swedish Medical Center | Seattle-Tacoma WA | $10,032 | 3.1× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,163 | 2.9× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $10,490 | 3.2× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $11,194 | 3.5× | 6 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 3.6× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 3.3× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.4× | 3 | 2026-04-01 |
99 hospitals in 33 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,395–$4,975 |
| Austin TX | 2 | — | — | — | $2,250–$5,926 |
| Boston MA | 7 | $3,555 | $3,743 | $4,198 | $3,298–$5,596 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 6 | $3,833 | $4,857 | $6,378 | $3,381–$7,210 |
| Cleveland OH | 5 | $4,977 | $5,597 | $5,685 | $3,174–$6,438 |
| Dallas-Fort Worth TX | 4 | — | — | — | $5,978–$8,938 |
| Denver CO | 7 | $3,431 | $4,558 | $4,698 | $2,452–$5,980 |
| Detroit MI | 7 | $3,318 | $3,347 | $3,446 | $3,011–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $5,051–$5,051 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $5,506–$5,506 |
| Las Vegas NV | 2 | — | — | — | $2,460–$3,272 |
| Los Angeles CA | 2 | — | — | — | $10,163–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $4,628–$4,628 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,715–$3,715 |
| Nashville TN | 4 | — | — | — | $1,869–$3,603 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $4,911–$9,025 |
| Ohio (statewide) | 1 | — | — | — | $6,344–$6,344 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,065–$3,418 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $10,273 | $10,273 | $11,538 | $10,273–$11,960 |
| Richmond VA | 2 | — | — | — | $6,342–$6,342 |
| San Antonio TX | 1 | — | — | — | $5,087–$5,087 |
| San Diego CA | 1 | — | — | — | $3,570–$3,570 |
| San Francisco Bay Area CA | 3 | — | — | — | $20,580–$22,041 |
| Seattle-Tacoma WA | 6 | $8,714 | $9,431 | $10,376 | $7,467–$11,194 |
| St. Louis MO | 3 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $3,812–$8,201 |
| Washington DC | 5 | $4,262 | $4,262 | $4,974 | $3,400–$5,955 |
| Wisconsin (statewide) | 1 | — | — | — | $4,744–$4,744 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,250 | 0.8× | 1 | 2026-01-01 |
| Adventhealth Porter | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $2,452 | 0.8× | 4 | 2026-04-01 |
| Henderson Hospital | Las Vegas NV | $2,460 | 0.8× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 1.0× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $2,715 | 1.0× | 7 | 2025-10-01 |
| Trinity Health Oakland Hospital | Detroit MI | $3,011 | 1.1× | 16 | 2026-03-31 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,065 | 1.0× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,065 | 1.0× | 5 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,174 | 1.2× | 4 | 2026-07-14 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,272 | 1.1× | 7 | 2026-07-01 |
| Mclaren Port Huron | Detroit MI | $3,289 | 1.2× | 1 | 2025-12-31 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,298 | 1.0× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,347 | 1.2× | 1 | 2026-05-01 |
| Endeavor Health Edward Hospital | Chicago IL | $3,381 | 1.1× | 2 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $3,400 | 1.0× | 3 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 1.1× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $3,476 | 1.0× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,544 | 1.3× | 1 | 2026-01-01 |
| Scripps Green Hospital | San Diego CA | $3,570 | 1.0× | 1 | 2026-03-30 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.4× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $3,634 | 1.1× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,715 | 1.3× | 3 | 2026-03-31 |
| Winchester Hospital | Boston MA | $3,743 | 1.1× | 3 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 1.3× | 3 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $3,812 | 1.3× | 3 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $3,863 | 1.2× | 4 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,078 | 1.4× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.5× | 6 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $4,262 | 1.5× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $4,262 | 1.5× | 4 | 2026-09-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,395 | 1.6× | 6 | 2026-07-01 |
| HCA HealthONE Swedish | Denver CO | $4,410 | 1.5× | 4 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.6× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $4,533 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,558 | 1.6× | 4 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $4,628 | 1.6× | 2 | 2026-06-15 |
| HCA HealthONE Sky Ridge | Denver CO | $4,633 | 1.6× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.6× | 2 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,744 | 1.7× | 3 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $4,762 | 1.6× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $4,911 | 1.4× | 8 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $4,953 | 1.8× | 1 | 2026-06-10 |
| Medstar Washington Hospital Center | Washington DC | $4,974 | 1.5× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $4,975 | 1.8× | 6 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $4,977 | 1.9× | 1 | 2026-06-15 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 1.9× | 1 | 2026-03-06 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,051 | 2.1× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,087 | 1.8× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $5,506 | 2.1× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $5,596 | 1.7× | 2 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $5,597 | 2.1× | 3 | 2026-06-16 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.9× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,685 | 2.2× | 1 | 2026-06-15 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 1.7× | 5 | 2026-06-10 |
| Harper University Hospital | Detroit MI | $5,812 | 2.1× | 1 | 2026-09-02 |
| St David's Medical Center | Austin TX | $5,926 | 2.1× | 5 | 2026-09-01 |
| Inova Alexandria Hospital | Washington DC | $5,955 | 2.1× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $5,978 | 2.1× | 5 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 2.0× | 3 | 2025-11-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 2.2× | 3 | 2026-06-29 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,342 | 2.3× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $6,344 | 2.4× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,438 | 2.5× | 1 | 2026-06-15 |
| Loyola University Medical Center | Chicago IL | $6,625 | 2.2× | 1 | 2026-03-31 |
| Medical City Mckinney | Dallas-Fort Worth TX | $6,794 | 2.4× | 5 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $7,210 | 2.4× | 2 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 2.4× | 3 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $7,467 | 2.3× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $8,201 | 2.8× | 3 | 2026-01-01 |
| St Clare Hospital | Seattle-Tacoma WA | $8,676 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $8,830 | 2.7× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $8,938 | 3.2× | 2 | 2026-04-21 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 2.6× | 7 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 3.2× | 3 | 2026-09-15 |
| Swedish Medical Center | Seattle-Tacoma WA | $10,032 | 3.1× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,163 | 2.9× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $10,273 | 3.3× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $10,490 | 3.2× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $11,194 | 3.5× | 6 | 2026-08-27 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 3.6× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 3.3× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $11,960 | 3.9× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,580 | 5.3× | 6 | 2026-03-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.8× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.4× | 3 | 2026-04-01 |
Across 93 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 46255, hospital outpatient is $5,051, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,743 to $7,409. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national hospital outpatient rate for CPT 46255 is $2,836 and its surgery-center rate is $1,433, before local wage adjustment.
Lowest medians: Ascension Saint Thomas Rutherford ($1,869), Mercy Hospital St Louis ($2,022), Mercy Hospital Jefferson ($2,022). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), John Muir Medical Center - Concord Campus ($20,580). Coverage is limited to the markets listed on this page.