Surgery and procedures CPT 46221 Outpatient

Hemorrhoid banding cost in Columbia, MO

In Columbia, MO, 2 hospitals list a cash price for hemorrhoid banding (rubber band ligation): from $391.80 to $940.80, with a median of $666.30. The lowest listed price is at Boone Hospital Center — $274.50 less than the median here. Across Missouri, the median is $1,620.45 at 15 hospitals.

Cash prices at 2 facilities for code 46221, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Apr 1, 2026.

Lowest$391.80Boone Hospital Center
Median$666.30half pay less
Highest$940.80in this market
Difference2.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Columbia, MO.

median
Lowest $391.80Highest $940.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boone Hospital Center lowest Columbia, MO · (573) 815-8000 LIGATION OF HEMORRHOID(S) $391.80 $653.00 — 40% Apr 1, 2026
source file
Curators of the University of Missouri Columbia, MO · (573) 882-4141 HEMMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION EF $940.80 $1,568.00 $0.01 40% Dec 15, 2025
source file

Outpatient: lowest $391.80, median $666.30, highest $940.80 — a 2.4× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $666.30. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Hemorrhoid banding places small rubber bands around internal hemorrhoids so they shrink and fall off within about a week.

What the price covers

The price usually covers the procedure and numbing medicine. The visit may be billed separately.