Price Checker / CPT 46040
How much does I&d Ischiorct&/perirct Absc cost?
CPT 46040 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 3.7x the fair price. This is well above fair — push back or dispute it.
Fair price
$2,000–$2,350
What this should cost
With insurance
~$2,800
Typical out-of-pocket
Overcharged if over
$2,950
Push back above this
The average hospital charge of $8,240 is $6,040 over the fair price (about 3.7x the fair rate).
What hospitals charge for I&d Ischiorct&/perirct Absc
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Los Alamos Medical Center LOS ALAMOS, NY | $39,778 | — | 6211% |
| Highpoint Health - Riverview with Ascension Saint Thomas , TN | $25,637 | — | 3968% |
| Dr. Dan C. Trigg Memorial Hospital Tucumcari, NM | $7,400 | — | 2066% |
| Logan Regional Medical Center Logan, WV | $9,035 | — | 1334% |
| Union County General Hospital Clayton, NM | $7,363 | — | 951% |
| Iraan General Hospital Iraan, TX | $5,956 | — | 845% |
| Richardson Medical Center RAYVILLE, LA | $5,081 | $3,811 | 706% |
| Klickitat County Public Hospital District No 1 Goldendale, WA | $4,000 | — | 535% |
| Coffey County Hospital Burlington, KS | $3,495 | — | 427% |
| 23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood Kingwood, TX | $3,134 | — | 397% |
| W.J. Mangold Memorial Hospital Lockney, TX | $4,351 | — | 385% |
| Touchette Regional Hospital , IL | $2,986 | — | 374% |
| Howard Memorial Hospital NASHVILLE, AR | $2,595 | — | 312% |
| Mid Coast Medical Center - Trinity Trinity, TX | $1,730 | — | 174% |
| Harbor Beach Community Hospital HARBOR BEACH, MI | $1,059 | — | 63% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About I&d Ischiorct&/perirct Absc
CPT code 46040 refers to i&d ischiorct&/perirct absc (billing description: "I&d ischiorct&/perirct absc"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $435 in a facility (hospital or surgery center) and $630 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.