Surgery and procedures CPT 46221 622 markets

Hemorrhoid banding cost without insurance

The median hospital cash price for hemorrhoid banding (rubber band ligation) is $1,137.61 across 1,308 US hospitals; most list between $373.82 and $3,332.48. The lowest outpatient cash price in any of 622 markets is $94.13. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file

Lowest$94.13any market
Median market$1,130.85middle of market medians
Most below$3,332.489 in 10 hospitals
Listings1,304hospital prices

Compared with Medicare

$950.10 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $1,137.61 across 1,308 hospitals, is 1.2× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for hemorrhoid banding, the highest negotiated rate in a hospital's file has a median of $2,454.41 and the lowest a median of $333.66. At 885 of 1,017 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 46221?

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.

Why prices differ

Colorectal surgeons' offices often charge less than hospitals.

What to ask

Ask whether the self-pay price for CPT 46221 includes the visit and any lab exam of removed tissue.

Prices by state

Among 45 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($498.40), New Hampshire ($557.38) and Iowa ($653.80), and highest in Connecticut ($3,224.78), New Jersey ($2,531.28) and Colorado ($2,422.15).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Aberdeen, MS single city 1 $501.00 $501.00 $501.00 1.0×
Aberdeen, SD 1 $1,230.40 $1,230.40 $1,230.40 1.0×
Abilene, KS single city 1 $942.00 $942.00 $942.00 1.0×
Abilene, TX 2 $2,204.13 $2,204.13 $2,204.13 1.0×
Ada, MN single city 1 $1,310.25 $1,310.25 $1,310.25 1.0×
Ada, OK 1 $3,454.07 $3,454.07 $3,454.07 1.0×
Akron, OH 4 $1,314.00 $2,448.30 $4,599.10 3.5×
Alamosa, CO 1 $242.55 $242.55 $242.55 1.0×
Albany, MO single city 1 $1,105.00 $1,105.00 $1,105.00 1.0×
Albany, OR 2 $160.00 $320.00 $480.00 3.0×
Albany-Schenectady-Troy, NY 2 $1,245.40 $3,720.76 $6,196.11 5.0×
Albemarle, NC 1 $659.00 $659.00 $659.00 1.0×
Albuquerque, NM 5 $580.10 $733.50 $16,326.37 28.1×
Alexandria, LA 1 $1,193.40 $1,193.40 $1,193.40 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $2,531.28 $2,531.28 $2,531.28 1.0×
Alliance, NE single city 1 $1,500.80 $1,500.80 $1,500.80 1.0×
Alma, NE single city 1 $2,290.83 $2,290.83 $2,290.83 1.0×
Amarillo, TX 3 $215.60 $215.60 $1,651.50 7.7×
Ames, IA 1 $669.29 $669.29 $669.29 1.0×
Anchorage, AK 1 $3,298.00 $3,298.00 $3,298.00 1.0×
Anderson Creek, NC 1 $1,383.60 $1,383.60 $1,383.60 1.0×
Andrews, TX 1 $1,350.50 $1,350.50 $1,350.50 1.0×
Ann Arbor, MI 1 $1,047.20 $1,047.20 $1,047.20 1.0×
Antigo, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Appleton, WI 3 $193.80 $1,391.77 $1,391.77 7.2×
Ardmore, OK 1 $2,315.12 $2,315.12 $2,315.12 1.0×
Arkadelphia, AR 1 $900.90 $900.90 $900.90 1.0×
Arkansas City-Winfield, KS 1 $4,896.48 $4,896.48 $4,896.48 1.0×
Asheboro, NC single city 1 $855.00 $855.00 $855.00 1.0×
Ashley, ND single city 1 $1,436.00 $1,436.00 $1,436.00 1.0×
Astoria, OR 2 $565.50 $659.55 $753.60 1.3×
Atchison, KS 1 $574.00 $574.00 $574.00 1.0×
Athens, OH 1 $1,333.15 $1,333.15 $1,333.15 1.0×
Athens, TN 1 $1,813.90 $1,813.90 $1,813.90 1.0×
Athens-Clarke County, GA 2 $1,786.20 $5,819.22 $9,852.24 5.5×
Atkinson, NE single city 1 $852.00 $852.00 $852.00 1.0×
Atlanta-Sandy Springs-Roswell, GA 28 $530.79 $1,786.20 $3,843.60 7.2×
Atlantic City-Hammonton, NJ 2 $383.40 $793.31 $1,203.21 3.1×
Atoka, OK single city 1 $103.00 $103.00 $103.00 1.0×
Auburn, NE single city 1 $337.00 $337.00 $337.00 1.0×
Augusta-Richmond County, GA-SC 4 $530.79 $1,377.16 $1,659.95 3.1×
Austin-Round Rock-San Marcos, TX 8 $1,137.61 $1,137.61 $1,757.47 1.5×
Bainbridge, GA 1 $1,203.30 $1,203.30 $1,203.30 1.0×
Bakersfield-Delano, CA 1 $291.26 $291.26 $291.26 1.0×
Baltimore-Columbia-Towson, MD 1 $192.19 $192.19 $192.19 1.0×
Bangor, ME 2 $365.65 $471.68 $577.71 1.6×
Bar Harbor, ME single city 1 $936.00 $936.00 $936.00 1.0×
Baraboo, WI 1 $152.07 $152.07 $152.07 1.0×
Barre, VT 1 $1,452.08 $1,452.08 $1,452.08 1.0×
Bassett, NE single city 1 $1,203.00 $1,203.00 $1,203.00 1.0×
Baton Rouge, LA 1 $458.24 $458.24 $458.24 1.0×
Beatrice, NE 1 $1,451.00 $1,451.00 $1,451.00 1.0×
Beaumont-Port Arthur, TX 1 $919.25 $919.25 $919.25 1.0×
Beaver Dam, WI 1 $468.35 $468.35 $468.35 1.0×
Beckley, WV 2 $340.67 $485.78 $630.89 1.9×
Belfast, ME single city 1 $484.15 $484.15 $484.15 1.0×
Bellefontaine, OH 1 $1,495.20 $1,495.20 $1,495.20 1.0×
Belmond, IA single city 1 $1,699.20 $1,699.20 $1,699.20 1.0×
Bemidji, MN 1 $1,217.60 $1,217.60 $1,217.60 1.0×
Bend, OR 4 $588.16 $588.16 $588.16 1.0×
Berlin, WI single city 1 $1,391.77 $1,391.77 $1,391.77 1.0×
Bethany, MO single city 1 $1,300.00 $1,300.00 $1,300.00 1.0×
Big Sandy, MT single city 1 $323.00 $323.00 $323.00 1.0×
Birmingham, AL 5 $373.50 $1,824.00 $1,824.00 4.9×
Bishop, CA 1 $524.00 $524.00 $524.00 1.0×
Bismarck, ND 1 $1,396.80 $1,396.80 $1,396.80 1.0×
Blacksburg-Christiansburg-Radford, VA 1 $1,130.85 $1,130.85 $1,130.85 1.0×
Bloomington, IL 1 $1,597.00 $1,597.00 $1,597.00 1.0×
Bloomington, IN 1 $979.00 $979.00 $979.00 1.0×
Bluefield, WV-VA 1 $2,371.00 $2,371.00 $2,371.00 1.0×
Boise City, ID 5 $432.90 $990.82 $2,509.00 5.8×
Bonners Ferry, ID single city 1 $1,094.40 $1,094.40 $1,094.40 1.0×
Booneville, AR single city 1 $1,030.90 $1,030.90 $1,030.90 1.0×
Boston-Cambridge-Newton, MA-NH 14 $450.00 $1,934.70 $2,831.00 6.3×
Boulder, CO 1 $2,422.15 $2,422.15 $2,422.15 1.0×
Bozeman, MT 2 $649.60 $661.60 $673.60 1.0×
Brenham, TX 1 $1,178.02 $1,178.02 $1,178.02 1.0×
Bridgeport, CT single city 1 $3,686.00 $3,686.00 $3,686.00 1.0×
Brookings, SD 1 $230.00 $230.00 $230.00 1.0×
Brownfield, TX single city 1 $1,599.00 $1,599.00 $1,599.00 1.0×
Brownwood, TX 1 $1,965.98 $1,965.98 $1,965.98 1.0×
Buckhannon, WV single city 1 $418.67 $418.67 $418.67 1.0×
Buffalo, WY single city 1 $974.00 $974.00 $974.00 1.0×
Buffalo-Cheektowaga, NY 3 $238.77 $954.00 $1,121.00 4.7×
Bunkie, LA single city 1 $985.00 $985.00 $985.00 1.0×
Burlington, KS single city 1 $752.40 $752.40 $752.40 1.0×
Burlington-South Burlington, VT 2 $1,341.00 $2,647.92 $3,954.84 2.9×
Cades, SC single city 1 $669.00 $669.00 $669.00 1.0×
Cadillac, MI 1 $510.85 $510.85 $510.85 1.0×
Calais, ME single city 1 $132.00 $132.00 $132.00 1.0×
Callaway, NE single city 1 $665.00 $665.00 $665.00 1.0×
Cambridge, NE single city 1 $751.50 $751.50 $751.50 1.0×
Cambridge, OH 1 $590.20 $590.20 $590.20 1.0×
Canby, MN single city 1 $1,665.60 $1,665.60 $1,665.60 1.0×
Canton-Massillon, OH 2 $706.05 $1,716.08 $2,726.10 3.9×
Cape Coral-Fort Myers, FL 4 $1,685.75 $1,719.45 $2,730.11 1.6×
Cape Girardeau, MO-IL 2 $3,269.00 $9,441.26 $15,613.52 4.8×
Carlsbad-Artesia, NM 1 $1,712.40 $1,712.40 $1,712.40 1.0×
Centralia, WA 1 $1,919.84 $1,919.84 $1,919.84 1.0×
Champaign-Urbana, IL 2 $737.00 $1,492.00 $2,247.00 3.0×
Charles City, IA single city 1 $950.00 $950.00 $950.00 1.0×
Charleston, WV 2 $585.50 $928.50 $1,271.50 2.2×
Charleston-North Charleston, SC 5 $686.40 $686.40 $925.00 1.3×
Charlevoix, MI single city 1 $1,450.10 $1,450.10 $1,450.10 1.0×
Charlotte-Concord-Gastonia, NC-SC 11 $659.00 $659.00 $3,585.00 5.4×
Charlottesville, VA 1 $489.50 $489.50 $489.50 1.0×
Chattanooga, TN-GA 3 $933.00 $933.00 $1,333.30 1.4×
Cheraw, SC single city 1 $1,691.93 $1,691.93 $1,691.93 1.0×
Cheyenne, WY 1 $799.05 $799.05 $799.05 1.0×
Chicago-Naperville-Elgin, IL-IN 29 $271.66 $914.00 $16,696.60 61.5×
Chico, CA 1 $2,363.00 $2,363.00 $2,363.00 1.0×
Cincinnati, OH-KY-IN 4 $2,243.40 $2,952.14 $18,792.84 8.4×
Clarion, IA single city 1 $1,699.20 $1,699.20 $1,699.20 1.0×
Clarksburg, WV 1 $1,369.50 $1,369.50 $1,369.50 1.0×
Clarksville, TN-KY 1 $3,668.55 $3,668.55 $3,668.55 1.0×
Clay Center, KS single city 1 $348.00 $348.00 $348.00 1.0×
Cleveland, OH 18 $900.49 $2,020.05 $2,726.10 3.0×
Clinton, IA 1 $2,236.00 $2,236.00 $2,236.00 1.0×
Clinton, MO single city 1 $638.98 $638.98 $638.98 1.0×
Coeur d'Alene, ID 1 $689.00 $689.00 $689.00 1.0×
College Station-Bryan, TX 4 $250.30 $269.45 $1,178.02 4.7×
Columbia, MO 1 $940.80 $940.80 $940.80 1.0×
Columbia, SC 1 $1,106.50 $1,106.50 $1,106.50 1.0×
Columbus, GA-AL 2 $1,377.16 $1,377.16 $1,377.16 1.0×
Columbus, IN 1 $1,509.60 $1,509.60 $1,509.60 1.0×
Columbus, NE 2 $628.94 $1,272.55 $1,916.15 3.0×
Columbus, OH 10 $564.40 $4,278.95 $4,278.95 7.6×
Comanche, TX single city 1 $853.45 $853.45 $853.45 1.0×
Conrad, MT single city 1 $1,557.24 $1,557.24 $1,557.24 1.0×
Corbin, KY 1 $732.33 $732.33 $732.33 1.0×
Corning, IA single city 1 $345.15 $345.15 $345.15 1.0×
Corning, NY 2 $448.65 $1,090.83 $1,733.00 3.9×
Cortland, NY 1 $448.65 $448.65 $448.65 1.0×
Corvallis, OR 1 $480.00 $480.00 $480.00 1.0×
Coshocton, OH 1 $875.00 $875.00 $875.00 1.0×
Council Grove, KS single city 1 $1,479.60 $1,479.60 $1,479.60 1.0×
Crawfordsville, IN 1 $4,602.65 $4,602.65 $4,602.65 1.0×
Crosby, ND single city 1 $2,676.95 $2,676.95 $2,676.95 1.0×
Cut Bank, MT single city 1 $1,557.24 $1,557.24 $1,557.24 1.0×
Cynthiana, KY single city 1 $953.22 $953.22 $953.22 1.0×
Dallas-Fort Worth-Arlington, TX 44 $254.60 $890.85 $5,353.74 21.0×
Damariscotta, ME single city 1 $1,392.95 $1,392.95 $1,392.95 1.0×
Davenport-Moline-Rock Island, IA-IL 1 $876.60 $876.60 $876.60 1.0×
Dayton, TN single city 1 $1,020.00 $1,020.00 $1,020.00 1.0×
Decatur, IL 1 $3,103.20 $3,103.20 $3,103.20 1.0×
Deckerville, MI single city 1 $367.84 $367.84 $367.84 1.0×
Decorah, IA single city 1 $187.60 $187.60 $187.60 1.0×
Defiance, OH 1 $9,262.56 $9,262.56 $9,262.56 1.0×
DeKalb, MS single city 1 $1,196.87 $1,196.87 $1,196.87 1.0×
Denison, IA single city 1 $492.80 $492.80 $492.80 1.0×
Denver-Aurora-Centennial, CO 6 $680.83 $2,422.15 $2,422.15 3.6×
Des Moines-West Des Moines, IA 4 $116.00 $570.60 $1,662.70 14.3×
Detroit Lakes, MN 1 $756.92 $756.92 $756.92 1.0×
Detroit-Warren-Dearborn, MI 13 $1,278.72 $2,847.00 $6,240.67 4.9×
Devils Lake, ND single city 1 $1,209.63 $1,209.63 $1,209.63 1.0×
Dillon, SC single city 1 $1,691.93 $1,691.93 $1,691.93 1.0×
Dodge City, KS 1 $1,533.00 $1,533.00 $1,533.00 1.0×
Dothan, AL 1 $3,563.31 $3,563.31 $3,563.31 1.0×
Dubuque, IA 2 $2,218.68 $2,227.34 $2,236.00 1.0×
Duluth, MN-WI 11 $218.64 $860.20 $2,299.49 10.5×
Dumas, TX 1 $1,501.60 $1,501.60 $1,501.60 1.0×
Duncan, OK 1 $1,858.80 $1,858.80 $1,858.80 1.0×
Durham, NC single city 1 $409.05 $409.05 $409.05 1.0×
Durham-Chapel Hill, NC 2 $409.05 $4,608.13 $8,807.20 21.5×
E Academy Paris, AR single city 1 $834.60 $834.60 $834.60 1.0×
Eagle River, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
East Amery, WI single city 1 $305.54 $305.54 $305.54 1.0×
Eau Claire, WI 3 $468.35 $1,283.39 $2,747.55 5.9×
Edwards, CO 1 $661.50 $661.50 $661.50 1.0×
El Centro, CA 1 $310.44 $310.44 $310.44 1.0×
El Paso, TX 2 $135.16 $135.16 $135.16 1.0×
Elizabeth City, NC 1 $1,262.50 $1,262.50 $1,262.50 1.0×
Elkhart-Goshen, IN 2 $728.00 $4,249.62 $7,771.24 10.7×
Ellensburg, WA 1 $561.00 $561.00 $561.00 1.0×
Ellsworth, ME single city 1 $750.25 $750.25 $750.25 1.0×
Enterprise, AL 1 $5,487.69 $5,487.69 $5,487.69 1.0×
Eugene-Springfield, OR 3 $795.38 $1,132.30 $2,538.68 3.2×
Eureka-Arcata, CA 2 $1,111.80 $1,496.85 $1,881.90 1.7×
Evansville, IN 1 $1,276.11 $1,276.11 $1,276.11 1.0×
Fairbanks-College, AK 1 $1,905.70 $1,905.70 $1,905.70 1.0×
Fairfield, IL single city 1 $2,005.60 $2,005.60 $2,005.60 1.0×
Fairmont, WV 1 $198.29 $198.29 $198.29 1.0×
Fargo, ND-MN 1 $1,529.60 $1,529.60 $1,529.60 1.0×
Faribault-Northfield, MN 1 $890.00 $890.00 $890.00 1.0×
Farmington, CT single city 1 $1,171.80 $1,171.80 $1,171.80 1.0×
Farmington, ME single city 1 $2,904.55 $2,904.55 $2,904.55 1.0×
Fayetteville-Springdale-Rogers, AR 3 $180.65 $198.00 $6,788.13 37.6×
Fergus Falls, MN 1 $312.65 $312.65 $312.65 1.0×
Flora, IL single city 1 $710.00 $710.00 $710.00 1.0×
Florence, SC 1 $1,691.93 $1,691.93 $1,691.93 1.0×
Fond du Lac, WI 1 $1,391.77 $1,391.77 $1,391.77 1.0×
Forest City, NC 1 $2,149.16 $2,149.16 $2,149.16 1.0×
Fort Smith, AR-OK 2 $4,664.19 $4,664.19 $4,664.19 1.0×
Fort Wayne, IN 2 $2,790.30 $3,601.12 $4,411.93 1.6×
Fraser, CO single city 1 $3,193.89 $3,193.89 $3,193.89 1.0×
Fredericktown, MO single city 1 $236.70 $236.70 $236.70 1.0×
Freeport, IL 1 $412.00 $412.00 $412.00 1.0×
Fresno, CA 3 $132.00 $2,536.80 $6,609.91 50.1×
Friendship, WI single city 1 $693.93 $693.93 $693.93 1.0×
Gadsden, AL 2 $830.00 $2,567.18 $4,304.36 5.2×
Gaffney, SC 1 $1,546.20 $1,546.20 $1,546.20 1.0×
Galena, IL single city 1 $618.16 $618.16 $618.16 1.0×
Gardnerville Ranchos, NV-CA 1 $1,120.00 $1,120.00 $1,120.00 1.0×
Gaylord, MI single city 1 $1,772.25 $1,772.25 $1,772.25 1.0×
Glasgow, MT single city 1 $1,563.30 $1,563.30 $1,563.30 1.0×
Glen Rose, TX single city 1 $2,804.00 $2,804.00 $2,804.00 1.0×
Glenwood, MN single city 1 $667.34 $667.34 $667.34 1.0×
Gloversville, NY 1 $292.00 $292.00 $292.00 1.0×
Goldendale, WA single city 1 $744.00 $744.00 $744.00 1.0×
Gordon, NE single city 1 $3,000.00 $3,000.00 $3,000.00 1.0×
Graceville, MN single city 1 $1,310.25 $1,310.25 $1,310.25 1.0×
Granbury, TX 1 $4,160.79 $4,160.79 $4,160.79 1.0×
Granby, CO single city 1 $3,193.89 $3,193.89 $3,193.89 1.0×
Grand Forks, ND-MN 2 $1,209.63 $1,259.94 $1,310.25 1.1×
Grand Rapids, MN 3 $415.65 $646.95 $1,310.25 3.2×
Grand Rapids-Wyoming-Kentwood, MI 2 $262.25 $262.25 $262.25 1.0×
Grantsburg, WI single city 1 $1,188.00 $1,188.00 $1,188.00 1.0×
Great Bend, KS 2 $158.90 $1,014.45 $1,870.00 11.8×
Green Bay, WI 3 $734.78 $1,940.40 $1,940.40 2.6×
Greenboro, GA single city 1 $7,102.06 $7,102.06 $7,102.06 1.0×
Greencastle, IN 1 $1,036.07 $1,036.07 $1,036.07 1.0×
Greenville, NC 1 $891.99 $891.99 $891.99 1.0×
Greenville-Anderson-Greer, SC 1 $1,546.20 $1,546.20 $1,546.20 1.0×
Greenwood, SC 2 $1,659.95 $1,798.28 $1,936.61 1.2×
Grenada, MS 1 $832.40 $832.40 $832.40 1.0×
Gulfport-Biloxi, MS 3 $471.00 $686.70 $686.70 1.5×
Guttenberg, IA single city 1 $773.60 $773.60 $773.60 1.0×
Hagerstown-Martinsburg, MD-WV 2 $846.01 $957.51 $1,069.00 1.3×
Hailey, ID 1 $2,509.00 $2,509.00 $2,509.00 1.0×
Hampton, IA single city 1 $719.10 $719.10 $719.10 1.0×
Harrisburg-Carlisle, PA 5 $1,415.72 $1,963.28 $2,925.00 2.1×
Harrisonburg, VA 1 $489.50 $489.50 $489.50 1.0×
Hartford, CT single city 3 $1,078.80 $3,686.00 $15,739.42 14.6×
Hattiesburg, MS 1 $5,201.97 $5,201.97 $5,201.97 1.0×
Haxtun, CO single city 1 $574.00 $574.00 $574.00 1.0×
Hays, KS 1 $115.50 $115.50 $115.50 1.0×
Helena, MT 1 $712.16 $712.16 $712.16 1.0×
Henderson, KY 1 $1,160.10 $1,160.10 $1,160.10 1.0×
Hermann, MO single city 1 $375.30 $375.30 $375.30 1.0×
Hickory-Lenoir-Morganton, NC 1 $4,147.94 $4,147.94 $4,147.94 1.0×
Hillsboro, ND single city 1 $1,683.20 $1,683.20 $1,683.20 1.0×
Hilo-Kailua, HI 1 $1,629.60 $1,629.60 $1,629.60 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $1,246.80 $1,246.80 $1,246.80 1.0×
Hobbs, NM 1 $1,072.68 $1,072.68 $1,072.68 1.0×
Holdrege, NE single city 1 $2,260.80 $2,260.80 $2,260.80 1.0×
Holland, MI 1 $268.20 $268.20 $268.20 1.0×
Holyoke, CO single city 1 $2,080.00 $2,080.00 $2,080.00 1.0×
Honesdale, PA single city 1 $832.30 $832.30 $832.30 1.0×
Hood River, OR 1 $827.25 $827.25 $827.25 1.0×
Hot Springs, AR 1 $677.67 $677.67 $677.67 1.0×
Hot Springs, VA single city 1 $626.25 $626.25 $626.25 1.0×
Houghton, MI 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Houma-Bayou Cane-Thibodaux, LA 3 $417.12 $877.49 $3,117.32 7.5×
Houston, MO single city 1 $410.00 $410.00 $410.00 1.0×
Houston-Pasadena-The Woodlands, TX 37 $327.92 $726.00 $2,372.00 7.2×
Hoxie, KS single city 1 $2,647.00 $2,647.00 $2,647.00 1.0×
Hugo, CO single city 1 $2,772.00 $2,772.00 $2,772.00 1.0×
Hugo, OK single city 1 $1,002.00 $1,002.00 $1,002.00 1.0×
Hugoton, KS single city 1 $2,566.00 $2,566.00 $2,566.00 1.0×
Huntington-Ashland, WV-KY-OH 2 $160.29 $1,309.32 $2,458.35 15.3×
Huntsville, AL 1 $4,595.51 $4,595.51 $4,595.51 1.0×
Huron, SD 1 $547.20 $547.20 $547.20 1.0×
Idaho Falls, ID 2 $2,162.00 $2,162.00 $2,162.00 1.0×
Indianapolis-Carmel-Greenwood, IN 3 $612.40 $2,199.33 $2,539.21 4.1×
International Falls, MN single city 1 $1,179.12 $1,179.12 $1,179.12 1.0×
Iowa City, IA 3 $283.50 $653.80 $653.80 2.3×
Iron River, MI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Ironwood, MI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Jackson, MN single city 1 $1,826.40 $1,826.40 $1,826.40 1.0×
Jackson, MS 3 $720.00 $720.00 $1,240.00 1.7×
Jackson, WY-ID 1 $701.60 $701.60 $701.60 1.0×
Jacksonville, FL 1 $1,259.80 $1,259.80 $1,259.80 1.0×
Jacksonville, TX 1 $295.60 $295.60 $295.60 1.0×
Janesville-Beloit, WI 2 $208.20 $460.39 $712.58 3.4×
Jefferson, IA single city 1 $1,206.80 $1,206.80 $1,206.80 1.0×
Jetmore, KS single city 1 $1,997.60 $1,997.60 $1,997.60 1.0×
John Day, OR single city 1 $1,197.00 $1,197.00 $1,197.00 1.0×
Joplin, MO-KS 1 $1,804.40 $1,804.40 $1,804.40 1.0×
Kahului-Wailuku, HI 1 $1,551.90 $1,551.90 $1,551.90 1.0×
Kalispell, MT 1 $269.75 $269.75 $269.75 1.0×
Kankakee, IL 1 $1,976.54 $1,976.54 $1,976.54 1.0×
Kansas City, MO-KS 3 $640.20 $640.20 $876.00 1.4×
Kapaa, HI 1 $1,126.80 $1,126.80 $1,126.80 1.0×
Kennewick-Richland, WA 2 $421.23 $709.02 $996.80 2.4×
Kenton, OH single city 1 $2,674.75 $2,674.75 $2,674.75 1.0×
Keosauqua, IA single city 1 $249.90 $249.90 $249.90 1.0×
Killeen-Temple, TX 4 $288.80 $1,178.02 $1,178.02 4.1×
Kimball, NE single city 1 $2,067.32 $2,067.32 $2,067.32 1.0×
Kingman, KS single city 1 $970.00 $970.00 $970.00 1.0×
Kirksville, MO 1 $6,434.78 $6,434.78 $6,434.78 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $1,160.85 $1,160.85 $1,160.85 1.0×
Klamath Falls, OR 1 $835.29 $835.29 $835.29 1.0×
Kodiak, AK single city 1 $1,591.98 $1,591.98 $1,591.98 1.0×
Kremmling, CO single city 1 $3,193.89 $3,193.89 $3,193.89 1.0×
La Crosse-Onalaska, WI-MN 3 $226.71 $634.80 $2,905.00 12.8×
La Grande, OR 1 $530.13 $530.13 $530.13 1.0×
Ladysmith, WI single city 1 $468.35 $468.35 $468.35 1.0×
Lafayette, LA 5 $261.05 $459.90 $1,090.80 4.2×
Lafayette-West Lafayette, IN 1 $8,438.13 $8,438.13 $8,438.13 1.0×
LaGrange, GA-AL 1 $530.79 $530.79 $530.79 1.0×
Lake Havasu City-Kingman, AZ 2 $3,492.16 $4,954.01 $6,415.86 1.8×
Lakeland-Winter Haven, FL 3 $880.80 $880.80 $3,400.40 3.9×
Lamesa, TX single city 1 $1,030.00 $1,030.00 $1,030.00 1.0×
Lancaster, NH single city 1 $432.32 $432.32 $432.32 1.0×
Lancaster, PA 2 $1,717.95 $2,321.48 $2,925.00 1.7×
Lanse, MI single city 1 $423.00 $423.00 $423.00 1.0×
Lansing-East Lansing, MI 3 $262.25 $262.25 $262.25 1.0×
Larned, KS single city 1 $140.00 $140.00 $140.00 1.0×
Las Cruces, NM 1 $3,201.07 $3,201.07 $3,201.07 1.0×
Las Vegas-Henderson-North Las Vegas, NV 2 $1,011.00 $1,034.55 $1,058.10 1.0×
Lawrence, KS 1 $632.06 $632.06 $632.06 1.0×
Lebanon, MO 1 $3,731.98 $3,731.98 $3,731.98 1.0×
Lebanon-Claremont, NH-VT 4 $155.10 $467.49 $1,228.00 7.9×
Lewiston-Auburn, ME 1 $764.56 $764.56 $764.56 1.0×
Lexington, NE 1 $1,448.64 $1,448.64 $1,448.64 1.0×
Lexington, VA single city 1 $1,130.85 $1,130.85 $1,130.85 1.0×
Lexington-Fayette, KY 5 $884.73 $1,000.61 $1,394.44 1.6×
Lima, OH 1 $995.40 $995.40 $995.40 1.0×
Linton, IN single city 1 $594.69 $594.69 $594.69 1.0×
Litchfield, MN single city 1 $310.40 $310.40 $310.40 1.0×
Little Rock-North Little Rock-Conway, AR 4 $354.64 $750.00 $3,814.72 10.8×
Longview-Kelso, WA 1 $2,236.65 $2,236.65 $2,236.65 1.0×
Los Angeles-Long Beach-Anaheim, CA 28 $603.05 $1,389.10 $6,586.75 10.9×
Louisville, GA single city 1 $342.50 $342.50 $342.50 1.0×
Louisville/Jefferson County, KY-IN 1 $897.59 $897.59 $897.59 1.0×
Lubbock, TX 5 $1,105.02 $1,170.54 $2,127.00 1.9×
Luverne, AL single city 1 $931.12 $931.12 $931.12 1.0×
Macon-Bibb County, GA 3 $658.50 $1,374.00 $1,374.00 2.1×
Madison, SD single city 1 $205.00 $205.00 $205.00 1.0×
Madison, WI 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Madisonville, TX single city 1 $284.61 $284.61 $284.61 1.0×
Malone, NY single city 1 $2,102.00 $2,102.00 $2,102.00 1.0×
Malta, MT single city 1 $338.00 $338.00 $338.00 1.0×
Manchester, CT single city 1 $2,970.79 $2,970.79 $2,970.79 1.0×
Manchester, IA single city 1 $2,941.20 $2,941.20 $2,941.20 1.0×
Manchester-Nashua, NH 2 $724.46 $733.90 $743.34 1.0×
Mangum, OK single city 1 $1,595.54 $1,595.54 $1,595.54 1.0×
Manning, SC single city 1 $1,691.93 $1,691.93 $1,691.93 1.0×
Mansfield, OH 2 $1,912.95 $1,912.95 $1,912.95 1.0×
Marble Falls, TX single city 1 $1,178.02 $1,178.02 $1,178.02 1.0×
Marietta, OH 1 $380.45 $380.45 $380.45 1.0×
Marion, OH 1 $1,745.25 $1,745.25 $1,745.25 1.0×
Marquette, MI 2 $1,413.80 $1,700.38 $1,986.95 1.4×
Martinsville, VA 1 $2,832.80 $2,832.80 $2,832.80 1.0×
Maryville, MO 1 $1,105.00 $1,105.00 $1,105.00 1.0×
Mason City, IA 1 $592.15 $592.15 $592.15 1.0×
Mayville, ND single city 1 $1,683.20 $1,683.20 $1,683.20 1.0×
McAlester, OK 1 $414.00 $414.00 $414.00 1.0×
McAllen-Edinburg-Mission, TX 1 $929.00 $929.00 $929.00 1.0×
McCall, ID single city 1 $2,509.00 $2,509.00 $2,509.00 1.0×
McMinnville, TN 1 $1,284.93 $1,284.93 $1,284.93 1.0×
McPherson, KS 3 $456.58 $659.40 $1,713.60 3.8×
Meadville, PA 1 $254.40 $254.40 $254.40 1.0×
Medford, OR 1 $1,029.75 $1,029.75 $1,029.75 1.0×
Medford, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Memphis, MO single city 1 $203.00 $203.00 $203.00 1.0×
Memphis, TN-MS-AR 6 $664.60 $838.64 $838.64 1.3×
Meriden, CT single city 1 $3,224.78 $3,224.78 $3,224.78 1.0×
Meridian, MS 2 $310.93 $736.56 $1,162.18 3.7×
Merrill, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 13 $844.00 $1,614.60 $4,410.34 5.2×
Michigan City-La Porte, IN 1 $1,297.12 $1,297.12 $1,297.12 1.0×
Milledgeville, GA 1 $663.50 $663.50 $663.50 1.0×
Milwaukee-Waukesha, WI 1 $632.82 $632.82 $632.82 1.0×
Minden, LA 1 $725.39 $725.39 $725.39 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 8 $811.63 $811.63 $860.20 1.1×
Minocqua, WI single city 1 $468.35 $468.35 $468.35 1.0×
Minot, ND 2 $937.60 $937.60 $937.60 1.0×
Missoula, MT 1 $1,147.20 $1,147.20 $1,147.20 1.0×
Moab, UT single city 1 $290.36 $290.36 $290.36 1.0×
Modesto, CA 1 $2,536.80 $2,536.80 $2,536.80 1.0×
Monroe, LA 3 $205.99 $657.80 $845.99 4.1×
Monticello, KY single city 1 $1,186.25 $1,186.25 $1,186.25 1.0×
Morehead, KY single city 1 $1,233.75 $1,233.75 $1,233.75 1.0×
Morgan City, LA 1 $401.10 $401.10 $401.10 1.0×
Morgantown, WV 2 $94.13 $938.32 $1,782.50 18.9×
Moscow, ID 1 $571.00 $571.00 $571.00 1.0×
Moultrie, GA 1 $718.00 $718.00 $718.00 1.0×
Mount Pleasant, MI 1 $1,103.65 $1,103.65 $1,103.65 1.0×
Mount Pleasant, TX 1 $261.30 $261.30 $261.30 1.0×
Mount Sterling, KY 1 $803.37 $803.37 $803.37 1.0×
Mount Vernon-Anacortes, WA 1 $817.60 $817.60 $817.60 1.0×
Mountain Home, AR 1 $1,117.20 $1,117.20 $1,117.20 1.0×
Muskegon-Norton Shores, MI 1 $967.20 $967.20 $967.20 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 4 $1,691.93 $1,691.93 $1,933.00 1.1×
Nacogdoches, TX 1 $166.00 $166.00 $166.00 1.0×
Napa, CA 1 $1,870.68 $1,870.68 $1,870.68 1.0×
Napoleon, OH single city 1 $273.00 $273.00 $273.00 1.0×
Nashville, GA single city 1 $1,740.00 $1,740.00 $1,740.00 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 4 $672.71 $1,089.27 $1,170.44 1.7×
Navasota, TX single city 1 $211.40 $211.40 $211.40 1.0×
Neillsville, WI single city 1 $468.35 $468.35 $468.35 1.0×
Nevada, MO single city 1 $1,371.60 $1,371.60 $1,371.60 1.0×
New London, WI single city 1 $1,391.77 $1,391.77 $1,391.77 1.0×
New Martinsville, WV single city 1 $1,091.00 $1,091.00 $1,091.00 1.0×
New Orleans-Metairie, LA 12 $253.96 $391.58 $22,351.37 88.0×
New Philadelphia-Dover, OH 1 $2,726.10 $2,726.10 $2,726.10 1.0×
New York-Newark-Jersey City, NY-NJ 63 $377.00 $1,246.35 $6,839.00 18.1×
Newport, OR 2 $160.00 $160.00 $160.00 1.0×
Niles, MI 2 $550.00 $550.00 $550.00 1.0×
Nome, AK single city 1 $398.00 $398.00 $398.00 1.0×
Norfolk, NE 1 $659.62 $659.62 $659.62 1.0×
Norway, ME single city 1 $2,500.95 $2,500.95 $2,500.95 1.0×
Oakley, KS single city 1 $875.00 $875.00 $875.00 1.0×
Oberlin, KS single city 1 $2,533.07 $2,533.07 $2,533.07 1.0×
Ocean Pines, MD 1 $698.00 $698.00 $698.00 1.0×
Odessa, TX 1 $1,516.00 $1,516.00 $1,516.00 1.0×
Okeene, OK single city 1 $225.60 $225.60 $225.60 1.0×
Oklahoma City, OK 4 $459.83 $1,224.72 $3,349.87 7.3×
Olla, LA single city 1 $588.00 $588.00 $588.00 1.0×
Olney, IL single city 1 $1,271.00 $1,271.00 $1,271.00 1.0×
Olympia-Lacey-Tumwater, WA 1 $1,919.84 $1,919.84 $1,919.84 1.0×
Omaha, NE-IA 10 $383.50 $598.99 $930.24 2.4×
Ontario, OR-ID 1 $689.00 $689.00 $689.00 1.0×
Orangeburg, SC 1 $925.00 $925.00 $925.00 1.0×
Orlando-Kissimmee-Sanford, FL 5 $3,400.40 $3,400.40 $3,967.00 1.2×
Oshkosh-Neenah, WI 2 $1,391.77 $1,391.77 $1,391.77 1.0×
Owosso, MI 1 $236.00 $236.00 $236.00 1.0×
Ozark, AR single city 1 $834.60 $834.60 $834.60 1.0×
Paducah, KY-IL 2 $235.35 $3,586.49 $6,937.62 29.5×
Pagosa Springs, CO single city 1 $672.72 $672.72 $672.72 1.0×
Palm Bay-Melbourne-Titusville, FL 1 $3,400.40 $3,400.40 $3,400.40 1.0×
Panama City-Panama City Beach, FL 1 $168.80 $168.80 $168.80 1.0×
Park Falls, WI single city 1 $468.35 $468.35 $468.35 1.0×
Parkersburg-Vienna, WV 1 $1,369.50 $1,369.50 $1,369.50 1.0×
Paulidng, OH single city 1 $159.80 $159.80 $159.80 1.0×
Pawnee City, NE single city 1 $491.00 $491.00 $491.00 1.0×
Pensacola-Ferry Pass-Brent, FL 1 $127.50 $127.50 $127.50 1.0×
Peoria, IL 1 $1,379.00 $1,379.00 $1,379.00 1.0×
Perry, FL single city 1 $637.60 $637.60 $637.60 1.0×
Perryton, TX single city 1 $1,524.00 $1,524.00 $1,524.00 1.0×
Perryville, MO single city 1 $6,170.38 $6,170.38 $6,170.38 1.0×
Peru, IN 1 $10,711.54 $10,711.54 $10,711.54 1.0×
Petersburg, WV single city 1 $915.20 $915.20 $915.20 1.0×
Petoskey, MI 1 $5,448.43 $5,448.43 $5,448.43 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 6 $332.80 $332.80 $950.00 2.9×
Phillipsburg, KS single city 1 $1,785.00 $1,785.00 $1,785.00 1.0×
Phoenix-Mesa-Chandler, AZ 1 $1,141.19 $1,141.19 $1,141.19 1.0×
Pine Bluff, AR 1 $602.25 $602.25 $602.25 1.0×
Pittsburgh, PA 7 $209.50 $2,818.20 $5,416.80 25.9×
Pittsfield, MA 3 $535.80 $2,587.05 $2,587.05 4.8×
Plainview, TX 1 $1,108.38 $1,108.38 $1,108.38 1.0×
Platteville, WI 3 $464.25 $642.85 $786.92 1.7×
Plattsburgh, NY 1 $2,088.00 $2,088.00 $2,088.00 1.0×
Plymouth, IN 1 $5,507.38 $5,507.38 $5,507.38 1.0×
Pocatello, ID 1 $1,948.80 $1,948.80 $1,948.80 1.0×
Polson, MT single city 1 $287.20 $287.20 $287.20 1.0×
Poplar Bluff, MO 1 $3,413.40 $3,413.40 $3,413.40 1.0×
Port St. Lucie, FL 1 $3,407.95 $3,407.95 $3,407.95 1.0×
Port Townsend, WA 2 $1,217.60 $1,247.60 $1,277.60 1.0×
Portland-South Portland, ME 3 $532.74 $939.00 $1,395.65 2.6×
Portland-Vancouver-Hillsboro, OR-WA 9 $738.40 $740.25 $2,485.40 3.4×
Prairie Du Chien, WI single city 1 $939.00 $939.00 $939.00 1.0×
Prescott Valley-Prescott, AZ 1 $1,316.29 $1,316.29 $1,316.29 1.0×
Presque Isle, ME single city 1 $158.34 $158.34 $158.34 1.0×
Providence-Warwick, RI-MA 6 $560.70 $1,859.00 $5,201.83 9.3×
Pullman, WA 1 $993.65 $993.65 $993.65 1.0×
Quincy, CA single city 1 $607.20 $607.20 $607.20 1.0×
Quitman, TX single city 1 $166.20 $166.20 $166.20 1.0×
Raleigh-Cary, NC 1 $409.05 $409.05 $409.05 1.0×
Rangely, CO single city 1 $271.64 $271.64 $271.64 1.0×
Rapid City, SD 5 $1,183.20 $1,183.20 $1,746.03 1.5×
Reading, PA 1 $1,541.35 $1,541.35 $1,541.35 1.0×
Redding, CA 1 $1,190.00 $1,190.00 $1,190.00 1.0×
Refugio, TX single city 1 $717.60 $717.60 $717.60 1.0×
Reno, NV 1 $922.00 $922.00 $922.00 1.0×
Republic, WA single city 1 $2,134.08 $2,134.08 $2,134.08 1.0×
Rexburg, ID 1 $978.00 $978.00 $978.00 1.0×
Rhinelander, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Rice Lake, WI 2 $468.35 $562.72 $657.08 1.4×
Richmond, VA 1 $14,992.54 $14,992.54 $14,992.54 1.0×
Richmond-Berea, KY 2 $499.32 $764.93 $1,030.53 2.1×
Rifle, CO 1 $2,442.00 $2,442.00 $2,442.00 1.0×
Ripley, WV single city 1 $515.67 $515.67 $515.67 1.0×
Riverside-San Bernardino-Ontario, CA 17 $282.14 $1,412.00 $3,359.00 11.9×
Roanoke Rapids, NC 1 $734.16 $734.16 $734.16 1.0×
Roanoke, VA 4 $1,130.85 $1,130.85 $1,130.85 1.0×
Rochester, MN 1 $948.21 $948.21 $948.21 1.0×
Rochester, NY 7 $1,348.00 $2,393.41 $3,819.90 2.8×
Rock Springs, WY 1 $1,423.86 $1,423.86 $1,423.86 1.0×
Rockford, IL 1 $748.21 $748.21 $748.21 1.0×
Rockport, ME single city 1 $1,365.40 $1,365.40 $1,365.40 1.0×
Rocky Mount, NC 1 $466.48 $466.48 $466.48 1.0×
Rolla, MO 1 $1,810.08 $1,810.08 $1,810.08 1.0×
Roseburg, OR 1 $1,106.78 $1,106.78 $1,106.78 1.0×
Roswell, NM 1 $927.90 $927.90 $927.90 1.0×
Roundup, MT single city 1 $898.00 $898.00 $898.00 1.0×
Rushville, IN single city 1 $164.36 $164.36 $164.36 1.0×
Russell, KS single city 1 $2,082.50 $2,082.50 $2,082.50 1.0×
Russellville, AR 1 $478.00 $478.00 $478.00 1.0×
Sacramento-Roseville-Folsom, CA 3 $2,536.80 $2,536.80 $2,536.80 1.0×
Safford, AZ 1 $741.00 $741.00 $741.00 1.0×
Saint Francis, KS single city 1 $1,648.32 $1,648.32 $1,648.32 1.0×
Saint Maries, ID single city 1 $597.60 $597.60 $597.60 1.0×
Salem, OH 1 $875.00 $875.00 $875.00 1.0×
Salem, OR 1 $3,782.33 $3,782.33 $3,782.33 1.0×
Salina, KS 1 $659.40 $659.40 $659.40 1.0×
Salt Lake City-Murray, UT 1 $1,508.43 $1,508.43 $1,508.43 1.0×
San Andreas, CA single city 1 $230.51 $230.51 $230.51 1.0×
San Antonio-New Braunfels, TX 3 $307.23 $490.00 $631.00 2.1×
San Diego-Chula Vista-Carlsbad, CA 9 $954.80 $1,114.45 $1,872.00 2.0×
San Francisco-Oakland-Fremont, CA 12 $2,536.80 $2,536.80 $4,557.00 1.8×
San Jose-Sunnyvale-Santa Clara, CA 3 $2,536.80 $2,536.80 $3,734.80 1.5×
Sandstone, MN single city 1 $1,310.25 $1,310.25 $1,310.25 1.0×
Santa Rosa-Petaluma, CA 4 $618.63 $1,741.14 $2,536.80 4.1×
Satanta, KS single city 1 $1,811.70 $1,811.70 $1,811.70 1.0×
Savannah, TN single city 1 $313.62 $313.62 $313.62 1.0×
Sayre, PA 3 $448.65 $448.65 $448.65 1.0×
Scranton--Wilkes-Barre, PA 3 $4,930.08 $6,098.76 $6,098.76 1.2×
Seaford, DE 1 $1,067.60 $1,067.60 $1,067.60 1.0×
Seattle-Tacoma-Bellevue, WA 5 $773.50 $1,303.20 $1,744.20 2.3×
Sebastian-Vero Beach-West Vero Corridor, FL 2 $3,400.40 $3,404.18 $3,407.95 1.0×
Sedalia, MO 1 $688.13 $688.13 $688.13 1.0×
Seminole, TX single city 1 $920.78 $920.78 $920.78 1.0×
Seward, AK single city 1 $1,620.84 $1,620.84 $1,620.84 1.0×
Shawano, WI 1 $1,391.77 $1,391.77 $1,391.77 1.0×
Shelby, MI single city 1 $3,241.71 $3,241.71 $3,241.71 1.0×
Shelby, MT single city 1 $452.72 $452.72 $452.72 1.0×
Shelby-Kings Mountain, NC 1 $659.00 $659.00 $659.00 1.0×
Shelbyville, TN 1 $1,170.44 $1,170.44 $1,170.44 1.0×
Sheldon, IA single city 1 $1,168.00 $1,168.00 $1,168.00 1.0×
Shenandoah, IA single city 1 $334.75 $334.75 $334.75 1.0×
Sherman-Denison, TX 1 $1,156.80 $1,156.80 $1,156.80 1.0×
Shreveport-Bossier City, LA 2 $536.90 $557.55 $578.20 1.1×
Sidney, MT single city 1 $455.74 $455.74 $455.74 1.0×
Sikeston, MO 1 $2,382.41 $2,382.41 $2,382.41 1.0×
Sioux Center, IA single city 1 $354.05 $354.05 $354.05 1.0×
Sioux Falls, SD-MN 2 $177.00 $628.50 $1,080.00 6.1×
Skowhegan, ME single city 1 $413.25 $413.25 $413.25 1.0×
Slidell-Mandeville-Covington, LA 1 $391.58 $391.58 $391.58 1.0×
Smith Center, KS single city 1 $2,100.00 $2,100.00 $2,100.00 1.0×
Smithville, TN single city 1 $608.81 $608.81 $608.81 1.0×
Somerset, PA 1 $2,925.00 $2,925.00 $2,925.00 1.0×
South Bend, WA single city 1 $1,031.80 $1,031.80 $1,031.80 1.0×
South Boston, VA single city 1 $1,452.00 $1,452.00 $1,452.00 1.0×
Spartanburg, SC 1 $1,546.20 $1,546.20 $1,546.20 1.0×
Spearfish, SD 2 $1,183.20 $1,183.20 $1,183.20 1.0×
Spencer, WV single city 1 $5,823.98 $5,823.98 $5,823.98 1.0×
Spokane-Spokane Valley, WA 4 $1,243.90 $1,711.15 $2,062.20 1.7×
Springfield, MA 2 $714.00 $1,666.02 $2,618.04 3.7×
Springfield, MO 3 $543.20 $2,897.62 $2,897.62 5.3×
St. Johnsbury, VT single city 1 $276.75 $276.75 $276.75 1.0×
St. Joseph, MO-KS 2 $1,360.00 $1,360.00 $1,360.00 1.0×
St. Louis, MO-IL 5 $457.25 $1,620.45 $3,507.00 7.7×
Staples, MN single city 1 $362.08 $362.08 $362.08 1.0×
Starkville, MS 1 $198.40 $198.40 $198.40 1.0×
Ste. Genevieve, MO single city 1 $345.00 $345.00 $345.00 1.0×
Stephenville, TX 1 $890.85 $890.85 $890.85 1.0×
Sterling, IL 1 $2,455.50 $2,455.50 $2,455.50 1.0×
Stevens Point-Plover, WI 3 $468.35 $2,747.55 $2,747.55 5.9×
Stillwater, OK 1 $3,472.00 $3,472.00 $3,472.00 1.0×
Stockton-Lodi, CA 2 $2,167.09 $2,351.95 $2,536.80 1.2×
Suffolk, VA single city 1 $1,452.00 $1,452.00 $1,452.00 1.0×
Summersville, WV single city 1 $1,274.00 $1,274.00 $1,274.00 1.0×
Syracuse, KS single city 1 $425.50 $425.50 $425.50 1.0×
Talladega-Sylacauga, AL 1 $1,824.00 $1,824.00 $1,824.00 1.0×
Tampa-St. Petersburg-Clearwater, FL 13 $880.80 $880.80 $9,248.19 10.5×
Taos, NM 1 $291.20 $291.20 $291.20 1.0×
Temple, TX single city 1 $1,178.02 $1,178.02 $1,178.02 1.0×
Terre Haute, IN 1 $1,037.25 $1,037.25 $1,037.25 1.0×
Texarkana, TX-AR 1 $10,711.54 $10,711.54 $10,711.54 1.0×
Thermopolis, WY single city 1 $1,573.00 $1,573.00 $1,573.00 1.0×
Toccoa, GA 1 $829.05 $829.05 $829.05 1.0×
Toledo, OH 3 $654.71 $1,312.80 $11,956.72 18.3×
Tomahawk, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Topeka, KS 1 $1,836.00 $1,836.00 $1,836.00 1.0×
Traverse City, MI 1 $855.10 $855.10 $855.10 1.0×
Trenton-Princeton, NJ 1 $5,110.00 $5,110.00 $5,110.00 1.0×
Tribune, KS single city 1 $543.90 $543.90 $543.90 1.0×
Truckee-Grass Valley, CA 1 $922.00 $922.00 $922.00 1.0×
Tucson, AZ 1 $7,687.82 $7,687.82 $7,687.82 1.0×
Tullahoma-Manchester, TN 1 $1,170.44 $1,170.44 $1,170.44 1.0×
Tulsa, OK 3 $596.72 $596.72 $967.20 1.6×
Twin Falls, ID 1 $2,509.00 $2,509.00 $2,509.00 1.0×
Two Harbors, MN single city 1 $3,478.82 $3,478.82 $3,478.82 1.0×
Tyler, TX 2 $319.80 $346.05 $372.30 1.2×
Upper Sandusky, OH single city 1 $470.37 $470.37 $470.37 1.0×
Urban Honolulu, HI 3 $2,070.60 $2,070.60 $2,070.60 1.0×
Utah Hiawatha, KS single city 1 $574.00 $574.00 $574.00 1.0×
Utica-Rome, NY 2 $230.40 $2,267.13 $4,303.85 18.7×
Valdez, AK single city 1 $1,620.84 $1,620.84 $1,620.84 1.0×
Valdosta, GA 1 $1,740.00 $1,740.00 $1,740.00 1.0×
Vallejo, CA 3 $1,960.00 $2,536.80 $2,536.80 1.3×
Van Wert, OH 1 $1,901.90 $1,901.90 $1,901.90 1.0×
Vernal, UT 1 $1,413.80 $1,413.80 $1,413.80 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 8 $924.53 $1,452.00 $1,805.83 2.0×
Waco, TX 1 $1,178.02 $1,178.02 $1,178.02 1.0×
Walla Walla, WA 1 $1,013.60 $1,013.60 $1,013.60 1.0×
Warner Robins, GA 1 $656.00 $656.00 $656.00 1.0×
Warren, PA 1 $1,329.00 $1,329.00 $1,329.00 1.0×
Washington, NC 1 $891.99 $891.99 $891.99 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 10 $1,308.00 $2,540.50 $3,073.15 2.3×
Watertown-Fort Atkinson, WI 1 $589.12 $589.12 $589.12 1.0×
Watford City, ND single city 1 $1,420.90 $1,420.90 $1,420.90 1.0×
Waupaca, WI single city 1 $1,391.77 $1,391.77 $1,391.77 1.0×
Wausau, WI 2 $468.35 $1,607.95 $2,747.55 5.9×
Wayne, NE single city 1 $537.20 $537.20 $537.20 1.0×
Webster City, IA single city 1 $652.00 $652.00 $652.00 1.0×
Weirton-Steubenville, WV-OH 1 $1,833.00 $1,833.00 $1,833.00 1.0×
Wellsboro, PA single city 1 $4,750.20 $4,750.20 $4,750.20 1.0×
Wenatchee-East Wenatchee, WA 2 $1,008.00 $1,952.35 $2,896.70 2.9×
Wheaton, MN single city 1 $1,644.80 $1,644.80 $1,644.80 1.0×
Wheeling, WV-OH 3 $1,146.00 $1,902.50 $1,917.00 1.7×
Whitehall, WI single city 1 $898.38 $898.38 $898.38 1.0×
Wichita Falls, TX 1 $1,069.97 $1,069.97 $1,069.97 1.0×
Wild Rose, WI single city 1 $1,391.77 $1,391.77 $1,391.77 1.0×
Windsor, NC single city 1 $925.12 $925.12 $925.12 1.0×
Winner, SD single city 1 $1,057.00 $1,057.00 $1,057.00 1.0×
Winston-Salem, NC 2 $764.50 $785.75 $807.00 1.1×
Wisconsin Rapids-Marshfield, WI 2 $468.35 $1,607.95 $2,747.55 5.9×
Wolfeboro, NH single city 1 $984.00 $984.00 $984.00 1.0×
Woodruff, WI single city 1 $2,747.55 $2,747.55 $2,747.55 1.0×
Worcester, MA 3 $1,003.00 $1,053.00 $2,182.00 2.2×
Worthington, MN 1 $600.80 $600.80 $600.80 1.0×
Wytheville, VA single city 1 $2,998.67 $2,998.67 $2,998.67 1.0×
Yakima, WA 1 $232.05 $232.05 $232.05 1.0×
York, NE single city 1 $555.00 $555.00 $555.00 1.0×
York-Hanover, PA 2 $2,925.00 $2,925.00 $2,925.00 1.0×
Youngstown-Warren, OH 2 $1,108.39 $3,434.38 $5,760.36 5.2×
Yreka, CA single city 1 $291.00 $291.00 $291.00 1.0×
Yuma, AZ 1 $984.10 $984.10 $984.10 1.0×
Zanesville, OH 1 $1,507.70 $1,507.70 $1,507.70 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 46221?

CPT 46221 is the billing code for hemorrhoid banding (rubber band ligation). Hemorrhoid banding places small rubber bands around internal hemorrhoids so they shrink and fall off within about a week.

Does it hurt?

Usually a dull ache for a day or two.

How many sessions are needed?

Often one to three, a few weeks apart.

How much does Medicare pay for CPT 46221 (Hemorrhoid banding)?

$950.10 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $1,137.61 across 1,308 hospitals, is 1.2× that.

Is it cheaper to pay cash or use insurance for hemorrhoid banding?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for hemorrhoid banding has a median of $2,454.41 and the lowest a median of $333.66; at 885 of 1,017 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest hemorrhoid banding?

Among 45 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($498.40), New Hampshire ($557.38) and Iowa ($653.80), and highest in Connecticut ($3,224.78), New Jersey ($2,531.28) and Colorado ($2,422.15). Prices vary as much between hospitals in the same state, so compare hospitals near you.