Price AtlasInteractive atlas · All states · techysurgeon.comHemorrhoid removal (surgical): what insurers pay
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.
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CPT 46255: Hemorrhoid Removal (Surgical)
1175 hospitals in 79 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $2,996 | $3,290 | $4,072 | $2,455–$7,171 |
| Alaska (statewide) | 4 | — | — | — | $3,700–$15,112 |
| Arizona (statewide) | 10 | $3,004 | $3,692 | $4,427 | $1,860–$6,732 |
| Arkansas (statewide) | 12 | $2,136 | $2,545 | $3,306 | $1,577–$4,000 |
| Atlanta GA | 10 | $4,395 | $4,975 | $4,975 | $4,395–$5,809 |
| Austin TX | 13 | $2,250 | $4,364 | $4,863 | $2,250–$5,242 |
| Boston MA | 12 | $4,123 | $4,505 | $5,187 | $2,498–$7,500 |
| California (statewide) | 60 | $4,788 | $8,092 | $10,377 | $2,133–$12,766 |
| Charlotte NC | 5 | $3,260 | $3,260 | $3,260 | $3,216–$3,260 |
| Chicago IL | 8 | $4,238 | $5,266 | $7,231 | $3,751–$7,295 |
| Cleveland OH | 11 | $3,032 | $3,902 | $4,634 | $2,453–$6,438 |
| Colorado (statewide) | 17 | $3,588 | $4,563 | $5,618 | $1,528–$9,563 |
| Columbus OH | 1 | — | — | — | $9,983–$9,983 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$11,565 |
| Dallas-Fort Worth TX | 14 | $5,023 | $5,198 | $5,894 | $4,169–$10,051 |
| Denver CO | 15 | $2,574 | $5,182 | $5,736 | $1,691–$7,183 |
| Detroit MI | 16 | $3,347 | $3,347 | $4,396 | $1,707–$5,812 |
| Florida (statewide) | 60 | $4,768 | $5,582 | $7,422 | $1,550–$13,250 |
| Georgia (statewide) | 44 | $3,789 | $4,566 | $5,583 | $1,900–$16,285 |
| Hawaii (statewide) | 4 | — | — | — | $3,493–$6,463 |
| Houston TX | 19 | $4,198 | $4,425 | $4,595 | $3,691–$5,298 |
| Idaho (statewide) | 15 | $2,686 | $6,170 | $6,966 | $1,451–$10,448 |
| Illinois (statewide) | 28 | $3,476 | $3,966 | $6,521 | $2,833–$8,147 |
| Indiana (statewide) | 33 | $4,139 | $5,941 | $7,536 | $1,905–$10,869 |
| Iowa (statewide) | 18 | $4,036 | $4,509 | $5,372 | $1,411–$8,645 |
| Kansas (statewide) | 21 | $2,986 | $3,428 | $4,546 | $1,515–$15,112 |
| Kentucky (statewide) | 15 | $3,342 | $3,798 | $4,196 | $1,845–$5,710 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $5,175 | $5,997 | $8,032 | $4,428–$20,636 |
| Louisiana (statewide) | 24 | $2,599 | $3,226 | $4,026 | $1,743–$9,240 |
| Maine (statewide) | 16 | $11,237 | $12,753 | $13,046 | $2,939–$16,402 |
| Maryland (statewide) | 1 | — | — | — | $4,435–$4,435 |
| Massachusetts (statewide) | 4 | — | — | — | $2,503–$4,076 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,584–$5,584 |
| Michigan (statewide) | 29 | $2,964 | $3,070 | $3,347 | $1,433–$4,785 |
| Minneapolis-St. Paul MN | 8 | $3,711 | $3,893 | $4,072 | $2,113–$5,132 |
| Minnesota (statewide) | 13 | $4,509 | $7,283 | $8,608 | $1,709–$10,381 |
| Mississippi (statewide) | 22 | $3,785 | $4,130 | $4,490 | $1,718–$7,570 |
| Missouri (statewide) | 18 | $3,321 | $5,022 | $6,262 | $1,634–$6,897 |
| Montana (statewide) | 6 | $5,643 | $5,970 | $7,500 | $3,428–$8,384 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,078 | $1,869–$5,653 |
| Nebraska (statewide) | 13 | $5,178 | $8,645 | $8,645 | $1,664–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $5,283–$6,483 |
| New Hampshire (statewide) | 6 | $8,450 | $8,907 | $10,777 | $5,441–$12,430 |
| New Jersey (statewide) | 20 | $4,551 | $6,559 | $7,771 | $3,182–$11,208 |
| New Mexico (statewide) | 6 | $3,092 | $4,461 | $7,208 | $1,845–$11,149 |
| New York (statewide) | 32 | $3,487 | $4,884 | $6,278 | $2,390–$9,883 |
| New York City | 8 | $3,205 | $3,370 | $6,192 | $2,539–$8,726 |
| North Carolina (statewide) | 6 | $4,436 | $6,144 | $6,739 | $2,537–$7,358 |
| North Dakota (statewide) | 5 | $4,958 | $5,000 | $6,415 | $4,744–$8,002 |
| Ohio (statewide) | 40 | $2,946 | $5,945 | $7,889 | $1,539–$10,668 |
| Oklahoma (statewide) | 13 | $3,609 | $5,676 | $6,705 | $2,836–$11,455 |
| Oregon (statewide) | 10 | $6,431 | $7,462 | $9,749 | $3,046–$12,743 |
| Pennsylvania (statewide) | 40 | $3,220 | $6,308 | $9,282 | $2,022–$12,768 |
| Philadelphia PA | 11 | $4,551 | $4,689 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,298 | $3,594 | $3,770 | $2,936–$3,770 |
| Pittsburgh PA | 6 | $3,626 | $4,763 | $5,897 | $2,766–$6,902 |
| Portland OR | 9 | $10,273 | $10,273 | $11,516 | $9,761–$11,516 |
| Rhode Island (statewide) | 3 | — | — | — | $5,451–$8,858 |
| Richmond VA | 3 | — | — | — | $6,342–$7,051 |
| Rio Grande Valley TX | 4 | — | — | — | $3,607–$5,830 |
| Salt Lake City UT | 9 | $3,206 | $3,315 | $3,315 | $2,556–$3,315 |
| San Antonio TX | 3 | — | — | — | $3,556–$4,807 |
| San Diego CA | 7 | $6,069 | $6,069 | $6,108 | $5,105–$6,583 |
| San Francisco Bay Area CA | 5 | $6,682 | $7,173 | $8,660 | $5,788–$22,041 |
| Seattle-Tacoma WA | 16 | $7,146 | $7,896 | $8,034 | $5,464–$10,032 |
| South Carolina (statewide) | 28 | $7,316 | $9,226 | $12,760 | $3,976–$14,603 |
| South Dakota (statewide) | 5 | $5,223 | $5,319 | $5,373 | $3,490–$14,312 |
| St. Louis MO | 4 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $8,201 | $8,201 | $8,201 | $3,812–$10,426 |
| Tennessee (statewide) | 25 | $2,644 | $3,147 | $3,668 | $1,800–$5,813 |
| Texas (statewide) | 75 | $3,824 | $4,525 | $5,055 | $2,035–$9,883 |
| Utah (statewide) | 7 | $2,677 | $3,206 | $3,260 | $2,556–$9,790 |
| Vermont (statewide) | 1 | — | — | — | $4,103–$4,103 |
| Virginia (statewide) | 21 | $7,208 | $9,026 | $10,530 | $4,936–$13,601 |
| Washington (statewide) | 13 | $5,699 | $7,320 | $8,442 | $2,878–$15,277 |
| Washington DC | 8 | $5,310 | $5,689 | $5,689 | $4,625–$5,689 |
| West Virginia (statewide) | 7 | $4,236 | $4,675 | $10,063 | $3,044–$18,479 |
| Wisconsin (statewide) | 41 | $4,959 | $6,557 | $7,250 | $1,373–$10,464 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Tomah Memorial Hospital | Wisconsin (statewide) | $1,373 | 0.5× | 1 | 2026-06-30 |
| Chi Health - Mercy Corning | Iowa (statewide) | $1,411 | 0.5× | 10 | 2026-02-28 |
| Holland Hospital | Michigan (statewide) | $1,433 | 0.5× | 3 | 2026-09-21 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $1,433 | 0.5× | 1 | 2026-09-02 |
| Syringa General Hospital | Idaho (statewide) | $1,451 | 0.5× | 1 | 2026-08-21 |
| Mcpherson Hospital Inc | Kansas (statewide) | $1,515 | 0.6× | 3 | 2026-06-08 |
| Mt San Rafael Hospital | Colorado (statewide) | $1,528 | 0.5× | 8 | 2026-07-23 |
| Nationwide Children'S Hospital | Ohio (statewide) | $1,539 | 0.6× | 1 | 2026-04-01 |
| Baptist Hospital | Florida (statewide) | $1,550 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,550 | 0.5× | 8 | 2025-12-23 |
| Oaklawn Hospital | Michigan (statewide) | $1,552 | 0.6× | 2 | 2026-03-27 |
| North Canyon Medical Center | Idaho (statewide) | $1,557 | 0.6× | 8 | 2026-04-13 |
| Providence Alaska Medical Center | Alaska (statewide) | $15,112 | 4.9× | 2 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $15,112 | 5.8× | 2 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $15,277 | 4.9× | 4 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $16,285 | 6.1× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $16,285 | 6.7× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $16,402 | 6.0× | 1 | 2025-09-09 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 6.3× | 6 | 2026-02-28 |
| Logan Regional Medical Center | West Virginia (statewide) | $18,479 | 6.9× | 1 | 2026-04-01 |
| 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 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 46260: Hemorrhoid Removal (Surgical)
1213 hospitals in 79 markets. National Medicare rate $2,836, surgery center $1,433.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $2,996 | $3,290 | $3,900 | $2,570–$7,171 |
| Alaska (statewide) | 5 | $3,539 | $4,124 | $7,458 | $1,734–$15,112 |
| Arizona (statewide) | 10 | $2,886 | $3,692 | $4,295 | $1,816–$6,047 |
| Arkansas (statewide) | 12 | $2,136 | $2,545 | $3,306 | $1,577–$4,000 |
| Atlanta GA | 10 | $4,395 | $4,975 | $4,975 | $4,395–$5,809 |
| Austin TX | 13 | $2,250 | $4,364 | $4,863 | $2,250–$5,242 |
| Boston MA | 14 | $2,781 | $4,304 | $4,798 | $2,386–$5,866 |
| California (statewide) | 67 | $4,006 | $6,507 | $10,377 | $2,133–$12,766 |
| Charlotte NC | 5 | $3,260 | $3,260 | $3,260 | $3,216–$3,260 |
| Chicago IL | 9 | $4,078 | $5,636 | $7,210 | $3,381–$7,295 |
| Cleveland OH | 11 | $3,032 | $3,746 | $4,503 | $2,453–$6,438 |
| Colorado (statewide) | 16 | $3,504 | $4,820 | $5,514 | $1,655–$9,563 |
| Columbus OH | 1 | — | — | — | $9,983–$9,983 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$11,565 |
| Dallas-Fort Worth TX | 12 | $5,154 | $5,419 | $6,171 | $4,572–$10,051 |
| Denver CO | 15 | $2,574 | $5,182 | $5,736 | $1,691–$7,183 |
| Detroit MI | 17 | $3,347 | $3,347 | $4,356 | $1,764–$5,812 |
| Florida (statewide) | 63 | $4,452 | $5,491 | $7,323 | $1,550–$13,250 |
| Georgia (statewide) | 46 | $3,400 | $4,566 | $5,734 | $1,900–$16,285 |
| Hawaii (statewide) | 5 | $4,774 | $5,144 | $6,914 | $4,456–$8,080 |
| Houston TX | 19 | $4,198 | $4,425 | $4,595 | $4,048–$5,298 |
| Idaho (statewide) | 15 | $2,945 | $6,170 | $6,966 | $2,434–$10,448 |
| Illinois (statewide) | 28 | $3,476 | $3,966 | $6,521 | $2,833–$8,147 |
| Indiana (statewide) | 37 | $3,704 | $5,941 | $6,895 | $1,905–$10,869 |
| Indianapolis IN | 1 | — | — | — | $12,456–$12,456 |
| Iowa (statewide) | 20 | $2,836 | $4,367 | $5,532 | $1,620–$8,645 |
| Kansas (statewide) | 21 | $3,102 | $3,428 | $4,546 | $1,880–$15,112 |
| Kentucky (statewide) | 15 | $3,342 | $3,798 | $4,196 | $1,845–$5,710 |
| Las Vegas NV | 2 | — | — | — | $2,586–$3,010 |
| Los Angeles CA | 17 | $5,204 | $6,161 | $8,032 | $4,428–$20,636 |
| Louisiana (statewide) | 23 | $2,588 | $3,286 | $4,032 | $1,743–$9,240 |
| Maine (statewide) | 17 | $11,237 | $12,617 | $13,046 | $2,939–$16,402 |
| Maryland (statewide) | 1 | — | — | — | $7,699–$7,699 |
| Massachusetts (statewide) | 5 | $2,670 | $3,807 | $4,071 | $2,503–$4,076 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,038–$5,038 |
| Michigan (statewide) | 31 | $2,618 | $3,118 | $3,442 | $1,433–$4,831 |
| Minneapolis-St. Paul MN | 9 | $3,715 | $3,924 | $4,518 | $1,970–$5,827 |
| Minnesota (statewide) | 11 | $6,452 | $7,417 | $8,820 | $3,790–$10,381 |
| Mississippi (statewide) | 22 | $3,785 | $4,130 | $4,490 | $2,030–$7,570 |
| Missouri (statewide) | 23 | $3,750 | $5,023 | $6,276 | $1,634–$21,372 |
| Montana (statewide) | 7 | $5,682 | $6,181 | $7,109 | $3,428–$8,384 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,078 | $1,869–$5,653 |
| Nebraska (statewide) | 16 | $3,106 | $7,167 | $8,645 | $1,509–$18,020 |
| Nevada (statewide) | 6 | $2,492 | $3,934 | $5,510 | $2,460–$6,483 |
| New Hampshire (statewide) | 6 | $8,450 | $8,907 | $10,777 | $7,981–$12,430 |
| New Jersey (statewide) | 21 | $3,387 | $5,918 | $7,770 | $3,182–$11,208 |
| New Mexico (statewide) | 8 | $4,278 | $5,828 | $9,073 | $1,789–$11,149 |
| New York (statewide) | 32 | $3,205 | $3,976 | $6,140 | $2,070–$9,883 |
| New York City | 8 | $3,205 | $3,370 | $5,135 | $3,205–$8,726 |
| North Carolina (statewide) | 8 | $4,956 | $6,144 | $6,996 | $2,360–$9,044 |
| North Dakota (statewide) | 5 | $4,958 | $5,000 | $6,415 | $4,744–$8,002 |
| Ohio (statewide) | 38 | $3,394 | $6,153 | $8,301 | $1,457–$10,668 |
| Oklahoma (statewide) | 13 | $2,836 | $5,676 | $6,705 | $1,861–$13,960 |
| Oregon (statewide) | 9 | $7,022 | $7,902 | $10,189 | $1,746–$12,743 |
| Pennsylvania (statewide) | 35 | $3,381 | $5,148 | $7,370 | $2,022–$12,275 |
| Philadelphia PA | 11 | $4,551 | $4,689 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,033 | $3,065 | $3,153 | $2,936–$3,418 |
| Pittsburgh PA | 8 | $3,352 | $4,494 | $5,678 | $2,766–$6,902 |
| Portland OR | 9 | $10,273 | $10,273 | $11,516 | $9,761–$11,516 |
| Rhode Island (statewide) | 3 | — | — | — | $5,451–$8,778 |
| Richmond VA | 3 | — | — | — | $6,342–$7,051 |
| Rio Grande Valley TX | 5 | $3,607 | $3,652 | $5,830 | $3,607–$5,830 |
| Salt Lake City UT | 9 | $3,206 | $3,315 | $3,315 | $2,556–$3,424 |
| San Antonio TX | 3 | — | — | — | $3,507–$4,807 |
| San Diego CA | 7 | $6,069 | $6,069 | $6,108 | $5,105–$6,583 |
| San Francisco Bay Area CA | 6 | $6,805 | $7,173 | $8,288 | $5,788–$22,041 |
| Seattle-Tacoma WA | 16 | $7,146 | $7,896 | $8,232 | $5,464–$10,032 |
| South Carolina (statewide) | 19 | $8,158 | $10,258 | $13,952 | $3,976–$14,603 |
| South Dakota (statewide) | 3 | — | — | — | $3,490–$14,312 |
| St. Louis MO | 4 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $8,201 | $8,201 | $8,201 | $3,812–$10,426 |
| Tennessee (statewide) | 25 | $2,644 | $3,147 | $3,774 | $2,218–$5,813 |
| Texas (statewide) | 79 | $3,400 | $4,525 | $5,055 | $1,990–$9,883 |
| Utah (statewide) | 8 | $2,556 | $3,002 | $3,233 | $1,746–$9,790 |
| Virginia (statewide) | 20 | $7,208 | $8,122 | $9,095 | $4,936–$11,260 |
| Washington (statewide) | 13 | $5,699 | $7,320 | $8,692 | $2,878–$15,277 |
| Washington DC | 10 | $5,055 | $5,500 | $5,689 | $4,169–$5,689 |
| West Virginia (statewide) | 8 | $4,437 | $4,656 | $9,543 | $3,044–$18,479 |
| Wisconsin (statewide) | 46 | $4,798 | $6,285 | $7,250 | $1,409–$10,464 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Black River Memorial Hospital | Wisconsin (statewide) | $1,409 | 0.5× | 1 | 2026-01-08 |
| Helen Newberry Joy Hospital | Michigan (statewide) | $1,433 | 0.5× | 1 | 2026-09-02 |
| Nationwide Children'S Hospital | Ohio (statewide) | $1,457 | 0.5× | 1 | 2026-04-01 |
| Chi Health Schuyler | Nebraska (statewide) | $1,509 | 0.5× | 1 | 2026-02-28 |
| Baptist Hospital | Florida (statewide) | $1,550 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,550 | 0.5× | 8 | 2025-12-23 |
| Oaklawn Hospital | Michigan (statewide) | $1,552 | 0.6× | 2 | 2026-03-27 |
| Gulf Breeze Hospital | Florida (statewide) | $1,565 | 0.5× | 8 | 2025-12-23 |
| Mercy Hospital Fort Smith | Arkansas (statewide) | $1,577 | 0.6× | 6 | 2026-06-08 |
| Cass County Memorial Hospital | Iowa (statewide) | $1,620 | 0.6× | 1 | 2026-06-01 |
| Mercy Hospital Joplin | Missouri (statewide) | $1,634 | 0.6× | 15 | 2026-06-09 |
| Mercy Hospital Springfield | Missouri (statewide) | $1,634 | 0.6× | 18 | 2026-06-04 |
| Providence Medical Center | Kansas (statewide) | $15,112 | 5.8× | 2 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $15,277 | 4.9× | 4 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $16,285 | 6.1× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $16,285 | 6.7× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $16,285 | 5.8× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $16,402 | 6.0× | 1 | 2025-09-09 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 6.3× | 6 | 2026-02-28 |
| Logan Regional Medical Center | West Virginia (statewide) | $18,479 | 6.9× | 1 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.8× | 3 | 2025-11-26 |
| Mercy St Francis Hospital | Missouri (statewide) | $21,372 | 7.7× | 1 | 2026-06-10 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.4× | 3 | 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 removal (surgical)?
Across 1175 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 46255, hospital outpatient is $4,975, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,476 to $7,172. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for hemorrhoid removal (surgical)?
Medicare's national hospital outpatient rate for CPT 46255 is $2,836 and its surgery-center rate is $1,433, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for hemorrhoid removal (surgical)?
Lowest medians: Tomah Memorial Hospital ($1,373), Chi Health - Mercy Corning ($1,411), Holland Hospital ($1,433). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Logan Regional Medical Center ($18,479). Coverage: every hospital whose price file we could read.