Surgery and procedures CPT 46221 Washington Outpatient

Hemorrhoid banding cost in Washington

In Washington, 26 hospitals publish a cash price for hemorrhoid banding (rubber band ligation): from $232.05 to $2,896.70, with a median of $1,260.75. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 12.5× the lowest.

  • The median here, $1,260.75, is 11% above the US median of $1,132.30.
  • That is 1.3× Medicare's 2026 national rate for the same service ($950.10).
  • Washington ranks 24th of 45 states by median, cheapest first.
  • 1 of 26 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

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 4, 2026. See them on a map

Lowest$232.05Astria Toppenish Hospital
Median$1,260.75half of hospitals charge less
Highest$2,896.70in Washington
Lowest saves$1,028.70vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Astria Toppenish Hospital lowest Toppenish · Yakima, WA 46221 Excision procedures on the anus $232.05 $357.00 Apr 1, 2026
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Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 46221 Excision procedures on the anus $421.23 $739.00 Apr 1, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Removal of external hemorrhoids by rubber banding $561.00 $660.00 Oct 7, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA HEMORRHOID BAND LIG $744.00 $930.00 Dec 2, 2024
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Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc 46221 Hemorrhoidectomy Init Banding $773.50 $1,547.00 Apr 1, 2026
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Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC HEMORRHOID BANDING $817.60 $1,022.00 Mar 26, 2026
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Pullman Regional Hospital Pullman · Pullman, WA Removal of external hemorrhoids by rubber banding $993.65 $1,169.00 Jun 9, 2026
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Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $996.80 $1,424.00 Apr 1, 2026
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Hemorrhoidectomy Internal Rubber Band Ligations--Pbb $1,008.00 $1,120.00 Aug 10, 2026
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Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,013.60 $1,448.00 Apr 1, 2026
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Willapa Harbor Hospital South Bend · South Bend, WA REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING $1,031.80 $1,474.00 Feb 24, 2026
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Forks Community Hospital Forks · Port Townsend, WA Removal of external hemorrhoids by rubber banding $1,217.60 $1,522.00 Oct 27, 2026
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Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,243.90 $1,777.00 Apr 1, 2026
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Jefferson Healthcare Port Townsend · Port Townsend, WA Removal of external hemorrhoids by rubber banding $1,277.60 $1,597.00 Aug 6, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC LIGATION OF HEMORRHOID(S) $1,303.20 $2,715.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC LIGATION OF HEMORRHOID(S) $1,303.20 $2,715.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC LIGATION OF HEMORRHOID(S) $1,303.20 $2,715.00 Apr 1, 2026
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Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,454.60 $2,078.00 Apr 1, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HEMORRHOID BANDING-FAC $1,744.20 $3,420.00 Jan 1, 2026
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Providence Centralia Hospital Centralia · Centralia, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,919.84 $3,692.00 Apr 1, 2026
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Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,919.84 $3,692.00 Apr 1, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $1,967.70 $2,811.00 Apr 1, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM $2,062.20 $2,946.00 Apr 1, 2026
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Ferry County Memorial Hospital Republic · Republic, WA HEMORRHOIDECTOMY INTER BAND $2,134.08 $2,510.68 Sep 14, 2026
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA LIGATION OF HEMORRHOID(S) $2,236.65 $3,441.00 Mar 21, 2026
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Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Removal of external hemorrhoids by rubber banding $2,896.70 $2,896.70 Sep 1, 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
Seattle-Tacoma-Bellevue, WA 5 $773.50 $1,303.20
Spokane-Spokane Valley, WA 4 $1,243.90 $1,711.15
Kennewick-Richland, WA 2 $421.23 $709.02
Port Townsend, WA 2 $1,217.60 $1,247.60
Wenatchee-East Wenatchee, WA 2 $1,008.00 $1,952.35
Centralia, WA 1 $1,919.84 $1,919.84
Ellensburg, WA 1 $561.00 $561.00
Goldendale, WA 1 $744.00 $744.00
Longview-Kelso, WA 1 $2,236.65 $2,236.65
Mount Vernon-Anacortes, WA 1 $817.60 $817.60
Olympia-Lacey-Tumwater, WA 1 $1,919.84 $1,919.84
Pullman, WA 1 $993.65 $993.65
Republic, WA 1 $2,134.08 $2,134.08
South Bend, WA 1 $1,031.80 $1,031.80
Walla Walla, WA 1 $1,013.60 $1,013.60
Yakima, WA 1 $232.05 $232.05
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.