Removal of external hemorrhoids by rubber banding
Medicare pricing data for 6,419 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of external hemorrhoids by rubber banding (HCPCS code 46221) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $265.25, but hospitals typically charge $818.35 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $265.25, your out-of-pocket cost would be approximately $53.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $202.12 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $315 | $1,138 | 319 | 4,285 | +18.7% |
| New Jersey | $308 | $1,182 | 185 | 2,887 | +16.0% |
| Connecticut | $306 | $1,288 | 74 | 791 | +15.2% |
| California | $304 | $903 | 573 | 7,943 | +14.5% |
| District of Columbia | $303 | $728 | 14 | 190 | +14.1% |
| Hawaii | $301 | $452 | 21 | 305 | +13.5% |
| Maryland | $291 | $791 | 120 | 1,994 | +9.6% |
| Washington | $286 | $801 | 141 | 1,089 | +7.8% |
| Massachusetts | $285 | $927 | 142 | 1,276 | +7.4% |
| Puerto Rico | $278 | $345 | 7 | 40 | +4.9% |
| Virginia | $277 | $681 | 168 | 1,881 | +4.4% |
| Alaska | $271 | $1,971 | 21 | 80 | +2.2% |
| Florida | $268 | $670 | 494 | 7,891 | +1.1% |
| Colorado | $268 | $970 | 160 | 1,143 | +1.0% |
| Pennsylvania | $263 | $605 | 339 | 4,427 | -0.7% |
| Nevada | $259 | $1,005 | 63 | 742 | -2.3% |
| Minnesota | $259 | $1,149 | 119 | 588 | -2.5% |
| Oregon | $259 | $847 | 83 | 438 | -2.5% |
| New Mexico | $258 | $430 | 30 | 369 | -2.7% |
| Arizona | $256 | $727 | 143 | 1,921 | -3.3% |
| Michigan | $256 | $551 | 169 | 1,177 | -3.4% |
| Delaware | $253 | $541 | 22 | 268 | -4.8% |
| Texas | $251 | $894 | 470 | 5,323 | -5.2% |
| North Carolina | $250 | $745 | 266 | 2,563 | -5.7% |
| Illinois | $249 | $928 | 274 | 2,600 | -6.2% |
| Rhode Island | $245 | $893 | 16 | 75 | -7.5% |
| Missouri | $245 | $635 | 108 | 1,279 | -7.6% |
| New Hampshire | $243 | $726 | 29 | 252 | -8.4% |
| Ohio | $243 | $658 | 247 | 2,164 | -8.5% |
| Kansas | $239 | $819 | 72 | 565 | -9.7% |
| South Dakota | $239 | $368 | 26 | 217 | -9.9% |
| Georgia | $238 | $809 | 259 | 2,758 | -10.1% |
| Utah | $238 | $716 | 73 | 680 | -10.2% |
| South Carolina | $237 | $677 | 93 | 1,121 | -10.5% |
| Alabama | $237 | $411 | 47 | 270 | -10.7% |
| Arkansas | $235 | $549 | 28 | 170 | -11.4% |
| Louisiana | $232 | $659 | 109 | 983 | -12.7% |
| Wisconsin | $231 | $1,275 | 111 | 378 | -12.9% |
| Kentucky | $228 | $593 | 64 | 259 | -14.0% |
| Maine | $228 | $624 | 19 | 82 | -14.1% |
| Wyoming | $225 | $737 | 27 | 141 | -15.0% |
| Mississippi | $219 | $658 | 56 | 599 | -17.6% |
| Montana | $217 | $456 | 23 | 153 | -18.3% |
| Indiana | $217 | $863 | 142 | 1,454 | -18.3% |
| North Dakota | $216 | $557 | 17 | 63 | -18.7% |
| Tennessee | $211 | $790 | 120 | 1,131 | -20.6% |
| Oklahoma | $211 | $851 | 70 | 631 | -20.6% |
| Idaho | $198 | $607 | 51 | 322 | -25.3% |
| Nebraska | $192 | $772 | 60 | 336 | -27.5% |
| Iowa | $187 | $955 | 72 | 600 | -29.5% |
| Vermont | $186 | $352 | 13 | 61 | -29.8% |
| West Virginia | $171 | $539 | 40 | 266 | -35.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber