How Much Does Remove Anal Fist Subcutaneous Cost?
Also known as: Remove anal fist subq (CPT 46270)
Fistulotomy (surgical opening of an anal fistula).
The total estimated cost of Remove Anal Fist Subcutaneous (CPT 46270) is $1,372 to $2,572, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $408.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Remove Anal Fist Subcutaneous
What you need to know before your appointment
What to Expect
Under anesthesia, the surgeon opens the fistula tract to allow it to heal from the inside out.
How Long Does It Take?
30-45 minutes
Common Reasons Doctors Order This
Anal fistula, chronic anal drainage, recurrent perianal abscess with fistula tract
How to Prepare
Fast before anesthesia. Wound care includes sitz baths and dressing changes. Healing takes several weeks.
Procedures Commonly Done Together
These procedures are frequently performed alongside Remove anal fist subq
How to Reduce Your Cost for Remove anal fist subq
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($600) differs from the facility rate ($408). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (17.96) x CF ($33.40) = $600
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Remove anal fist subq cost?
The Medicare facility rate for Remove anal fist subq is $408. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Remove anal fist subq cost without insurance?
Without insurance, the cost of Remove anal fist subq can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Remove anal fist subq?
Most commercial health insurance plans and Medicare cover Remove anal fist subq when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.