Surgery and procedures CPT 46221 Iowa Outpatient

Hemorrhoid banding cost in Iowa

In Iowa, 30 hospitals publish a cash price for hemorrhoid banding (rubber band ligation): from $116.00 to $2,941.20, with a median of $653.80. The lowest price is at Dallas County Hospital (Perry). The highest price is 25.4× the lowest.

  • The median here, $653.80, is 42% below the US median of $1,132.30.
  • That is 0.7× Medicare's 2026 national rate for the same service ($950.10).
  • Iowa ranks 3rd of 45 states by median, cheapest first.
  • 1 of 30 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 46221. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$116.00Dallas County Hospital
Median$653.80half of hospitals charge less
Highest$2,941.20in Iowa
Lowest saves$537.80vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Dallas County Hospital lowest Perry · Des Moines-West Des Moines, IA GEN SURG FAC SC-HEMORRHOIDECTOMY INTERNA $116.00 $178.00 May 29, 2026
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WinnMed Decorah · Decorah, IA Removal of external hemorrhoids by rubber banding $187.60 $268.00 Oct 13, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Removal of external hemorrhoids by rubber banding $249.90 $357.00 Jul 20, 2026
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Washington County Hospital Washington · Iowa City, IA Removal of external hemorrhoids by rubber banding $283.50 $378.00 Oct 20, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Removal of external hemorrhoids by rubber banding $334.75 $515.00 Sep 21, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC HEMORRHOID BANDING $345.15 $767.00 Sep 30, 2026
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Sioux Center Health Sioux Center · Sioux Center, IA $354.05 $365.00 Apr 1, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC HEMORRHOID BANDING $383.50 $767.00 Sep 30, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Removal of external hemorrhoids by rubber banding $492.80 $616.00 Jul 27, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Ligation Of Hemorrhoid(s) $546.00 $546.00 Sep 1, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Hemorrhoidectomy Internal by Rubber Ligation(S) $592.15 $911.00 Mar 31, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Removal of external hemorrhoids by rubber banding $595.20 $744.00 Oct 21, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC HEMORRHOID BANDING $598.99 $1,393.00 Sep 30, 2026
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Van Diest Medical Center Webster City · Webster City, IA LIGATION OF HEMORRHOID(S) $652.00 $815.00 Feb 5, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) $653.80 $934.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) $653.80 $934.00 Mar 11, 2026
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Boone County Hospital Boone · Ames, IA Removal of external hemorrhoids by rubber banding $669.29 $836.61 Jul 27, 2026
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Franklin General Hospital Hampton · Hampton, IA Removal of external hemorrhoids by rubber banding $719.10 $799.00 Nov 3, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC LIGATION OF HEMORRHOID(S) $773.60 $967.00 Mar 31, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA END-Hemorrhoidectomy by Simple Ligature $775.20 $2,584.00 Feb 15, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Removal of external hemorrhoids by rubber banding $950.00 $2,375.00 Sep 30, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA TX RM 46221 HEMORRHOID BANDING (OP) $1,168.00 $1,460.00 Mar 4, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC LIGATION OF HEMORRHOID(S) $1,206.80 $2,155.00 Mar 26, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Hemorrhoidectomy Internal by Rubber Ligation(S) $1,662.70 $2,558.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Removal of external hemorrhoids by rubber banding $1,699.20 $2,832.00 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Removal of external hemorrhoids by rubber banding $1,699.20 $2,832.00 Jun 11, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC LIGATION OF HEMORRHOID(S) $2,218.68 $2,773.35 Nov 4, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Hemorrhoidectomy Internal by Rubber Ligation(S) $2,236.00 $3,440.00 Mar 31, 2026
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MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Hemorrhoidectomy Internal by Rubber Ligation(S) $2,236.00 $3,440.00 Mar 31, 2026
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Regional Medical Center Manchester · Manchester, IA REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING $2,941.20 $3,676.50 Feb 20, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Des Moines-West Des Moines, IA 4 $116.00 $570.60
Iowa City, IA 3 $283.50 $653.80
Omaha, NE-IA 3 $383.50 $598.99
Dubuque, IA 2 $2,218.68 $2,227.34
Ames, IA 1 $669.29 $669.29
Belmond, IA 1 $1,699.20 $1,699.20
Charles City, IA 1 $950.00 $950.00
Clarion, IA 1 $1,699.20 $1,699.20
Corning, IA 1 $345.15 $345.15
Clinton, IA 1 $2,236.00 $2,236.00
Decorah, IA 1 $187.60 $187.60
Denison, IA 1 $492.80 $492.80
Guttenberg, IA 1 $773.60 $773.60
Hampton, IA 1 $719.10 $719.10
Jefferson, IA 1 $1,206.80 $1,206.80
Keosauqua, IA 1 $249.90 $249.90
Manchester, IA 1 $2,941.20 $2,941.20
Mason City, IA 1 $592.15 $592.15
Sheldon, IA 1 $1,168.00 $1,168.00
Shenandoah, IA 1 $334.75 $334.75
Sioux Center, IA 1 $354.05 $354.05
Webster City, IA 1 $652.00 $652.00
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

What hemorrhoid banding is, what the price covers and why prices differ: Hemorrhoid banding explained.

Hemorrhoid banding (rubber band ligation) in other states

Median cash price across the state's hospitals.