Price Checker / CPT 46221
How much does Ligation Of Hemorrhoid(s) cost?
CPT 46221 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 26x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,150–$1,350
What this should cost
With insurance
~$2,250
Typical out-of-pocket
Overcharged if over
$1,700
Push back above this
The average hospital charge of $32,313 is $31,063 over the fair price (about 26x the fair rate).
What hospitals charge for Ligation Of Hemorrhoid(s)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Person Memorial Hospital ROXBORO, NC | $37,416 | — | 11389% |
| Los Alamos Medical Center LOS ALAMOS, NY | $27,211 | — | 8256% |
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 Ligation Of Hemorrhoid(s)
CPT code 46221 refers to ligation of hemorrhoid(s) (billing description: "Ligation of hemorrhoid(s)"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $197 in a facility (hospital or surgery center) and $326 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.