CPT 45905 · 1,013 hospitals reporting

Dilation of anal sphincter

The same procedure costs $91.8 at one hospital and $10,236 at another — a 112× spread for what's billed under the same code. Median: $1,835.

Cheapest published

$91.8

3 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,013 hospitals

$1,835

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$10,236

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

198 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
SUNY/STONY BROOK UNIVERSITY HOSPITAL	NY	$1,817	$1,817	—	—	1 insurers
CARILION STONEWALL JACKSON HOSPITAL	VA	$3,090	$1,854	$141	$2,966	1 insurers
MARY BRIDGE CHILDREN'S HOSPITAL	WA	$4,670	$1,868	—	—	1 insurers
University of Arkansas Medical Sciences	AR	$2,926	$1,756	—	—	5 insurers
O U MEDICAL CENTER	OK	$19,249	$1,925	$975	$15,784	5 insurers
SURGICAL INSTITUTE OF READING	PA	$3,969	$1,726	$44	$185,749	5 insurers
BARNES-KASSON COUNTY HOSPITAL	PA	$2,809	$1,966	—	—	1 insurers
EVERGREEN MEDICAL CENTER	AL	$2,579	$1,676	—	—	3 insurers
CAPITAL HEALTH REGIONAL MEDICAL CENTER	NJ	$4,988	$1,995	—	—	1 insurers
MULTICARE AUBURN MEDICAL CENTER	WA	$4,988	$1,995	—	—	1 insurers
TACOMA GENERAL ALLENMORE HOSPITAL	WA	$4,988	$1,995	—	—	2 insurers
MULTICARE COVINGTON MEDICAL CENTER	WA	$4,988	$1,995	—	—	1 insurers
TERREBONNE GENERAL MEDICAL CENTER - PARISH	LA	$1,650	$1,650	$135	$1,650	5 insurers
PHYSICIANS MEDICAL CENTER	LA	$1,650	$1,650	$135	$1,650	5 insurers
ANIMAS SURGICAL HOSPITAL, LLC	CO	—	$2,038	$1,031	$3,000	3 insurers
CHI HEALTH GOOD SAMARITAN	NE	$3,358	$2,048	$1,645	$3,123	5 insurers
CHI HEALTH GOOD SAMARITAN	NE	$3,358	$2,048	$320	$3,908	5 insurers
CEDAR-SINAI MARINA DEL REY HOSPITAL	CA	$2,386	$1,551	—	—	5 insurers
MONTEFIORE ST LUKE'S CORNWALL	NY	—	$1,494	—	—	5 insurers
CARILION MEDICAL CENTER	VA	$4,179	$1,463	—	—	5 insurers
CARILION NEW RIVER VALLEY MEDICAL CENTER	VA	$4,179	$1,463	—	—	5 insurers
CARILION FRANKLIN MEMORIAL HOSPITAL	VA	$4,179	$1,463	—	—	5 insurers
CARILION GILES COMMUNITY HOSPITAL	VA	$4,179	$1,463	—	—	5 insurers
EMERSON HOSPITAL -	MA	$2,956	$2,217	—	—	5 insurers
CODY REGIONAL HEALTH	WY	$2,625	$2,231	—	—	5 insurers
CHRISTUS ST FRANCES CABRINI HOSPITAL	LA	$8,660	$2,252	$361	$7,361	5 insurers
WEST VIRGINIA UNIVERSITY HOSPITALS, INC	WV	$2,796	$1,398	—	—	5 insurers
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$3,964	$1,387	$1,044	$2,822	3 insurers
SAINT MICHAEL'S MEDICAL CENTER	NJ	$15,492	$1,387	$21.83	$12,394	5 insurers
BALDWIN HEALTH	AL	$4,400	$2,288	—	—	3 insurers
PIH HEALTH DOWNEY HOSPITAL	CA	$4,400	$2,288	—	—	3 insurers