CPT 46606 · 1,120 hospitals reporting

Biopsy anus using endoscope

The same procedure costs $64.5 at one hospital and $22,627 at another — a 351× spread for what's billed under the same code. Median: $1,285.

Cheapest published

$64.5

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

Median across 1,120 hospitals

$1,285

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

Most expensive

$22,627

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

Price distribution

312 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
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER	NC	$2,539	$1,270	$442	$2,463	5 insurers
NORTH VISTA HOSPITAL	NV	$1,661	$1,301	$73.05	$1,661	5 insurers
USC ARCADIA HOSPITAL	CA	$3,720	$1,302	—	—	5 insurers
UCHEALTH GREELEY HOSPITAL	CO	$2,114	$1,268	—	—	5 insurers
RAINBOW BABIES AND CHILDRENS HOSPITAL	OH	$1,769	$1,327	—	—	1 insurers
LANDMARK MEDICAL CENTER	RI	$8,308	$1,338	$520	$7,892	5 insurers
ALTRU HOSPITAL	ND	$2,207	$1,346	—	—	0 insurers
MOUNT GRANT GENERAL HOSPITAL	NV	$4,447	$1,223	$21.2	$4,314	5 insurers
ROXBOROUGH MEMORIAL HOSPITAL	PA	$4,447	$1,223	$21.2	$4,314	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$3,456	$1,348	—	—	2 insurers
DALLAS MEDICAL CENTER	TX	$1,079	$1,196	$69.93	$1,079	5 insurers
HARLINGEN MEDICAL CENTER	TX	$12,431	$1,196	$276	$9,945	5 insurers
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL	PA	—	$1,382	—	—	5 insurers
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL	PA	—	$1,382	—	—	5 insurers
SAINT MICHAEL'S MEDICAL CENTER	NJ	$4,447	$1,387	$21.83	$4,447	5 insurers
LOWER BUCKS HOSPITAL	PA	$4,447	$1,177	$21.2	$3,558	5 insurers
KAISER FOUNDATION HOSPITAL - PANORAMA CITY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - LOS ANGELES	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - DOWNEY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - SAN DIEGO	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WEST LA	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - WOODLAND HILLS	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL, RIVERSIDE	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL - BALDWIN PARK	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
KAISER FOUNDATION HOSPITAL-MORENO VALLEY	CA	$3,988	$1,396	$1,044	$2,822	3 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$1,169	$1,169	—	—	5 insurers
WILLS MEMORIAL HOSPITAL	GA	$1,873	$1,404	—	—	0 insurers
HASKELL REGIONAL HOSPITAL, INC	OK	$1,434	$1,434	—	—	5 insurers
COSHOCTON REGIONAL MEDICAL CENTER	OH	$5,415	$1,126	$1,127	$5,306	5 insurers
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	IL	$2,220	$1,110	—	—	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
CARLE RICHLAND MEMORIAL HOSPITAL	IL	$1,470	$1,470	—	—	4 insurers
UNM HOSPITAL	NM	$1,997	$1,098	—	—	5 insurers
CARILION STONEWALL JACKSON HOSPITAL	VA	$1,817	$1,090	$243	$6,646	1 insurers
MONTEFIORE ST LUKE'S CORNWALL	NY	—	$1,494	—	—	5 insurers
HILTON HEAD REGIONAL MEDICAL CENTER	SC	—	$1,071	$822	$2,493	5 insurers