46500

Injection of hemorrhoid

Medicare pricing data for 302 providers across 26 states

🤖AI Overview

Prices vary significantly by location — from $83 in Oklahoma to $383 in Massachusetts. Where you get this procedure matters more than almost any other factor. 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

Injection of hemorrhoid (HCPCS code 46500) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $342.47, but hospitals typically charge $607.40 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$68.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $342.47, your out-of-pocket cost would be approximately $68.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$342.47
Average Hospital Charge
$607.40
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$607.40
Medicare Allowed$342.47
Medicare Payment$266.70

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $266.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Massachusetts$383$1,505352+11.8%
California$366$502525,674+6.9%
New York$364$850721,795+6.4%
New Jersey$363$91616166+6.1%
Connecticut$350$1,250767+2.2%
Virginia$346$8621362+1.0%
Delaware$342$490121-0.1%
Maryland$339$973763-1.1%
Colorado$338$8738169-1.4%
Pennsylvania$337$43518767-1.5%
Washington$334$884824-2.5%
Nevada$317$530319-7.3%
Georgia$316$815878-7.7%
Texas$312$611814-9.0%
Oregon$308$1,00012110-10.0%
Florida$304$731171,268-11.2%
Missouri$299$498293-12.6%
North Carolina$295$54541,212-14.0%
Illinois$292$58012107-14.7%
South Carolina$292$649225-14.8%
Arizona$289$659227-15.6%
Ohio$287$4435270-16.1%
Tennessee$283$434370-17.5%
Maine$146$5803135-57.5%
Indiana$126$7751327-63.1%
Oklahoma$83$180171-75.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber