Anal fistula surgery with fistulotomy or seton placement at Mount Carmel East

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Srg Tx Anal Fistula Trans/Supra/Extrasphincteric/Mult Incl Plcmnt Seton

Columbus, OH

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How this price compares nationally

Mount Carmel East’s median price of $1.3k is 58% below the median hospital's median price ($3.0k), higher than 18% of the 1,860 hospitals reporting CPT 46280. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 46280 at Mount Carmel East

Negotiated rates from the hospital’s own file: 32 payers, 105 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna aetna medicare advantage professional · fee schedule · inpatient	$227	$227	—	—	—	$227 – $227
2	Aetna aetna medicare advantage professional · fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
3	Highmark medicare professional · fee schedule · inpatient	$227	$227	—	—	—	$227 – $227
4	Highmark medicare professional · fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
5	Oscar medicare professional · fee schedule · inpatient	$227	$227	—	—	—	$227 – $227
6	Oscar medicare professional · fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
7	Humana tricare professional · fee schedule · inpatient	$228	$228	—	—	—	$228 – $228
8	Humana tricare professional · fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
9	Tricare tricare professional · fee schedule · inpatient	$228	$228	—	—	—	$228 – $228
10	Tricare tricare professional · fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
11	Oscar oscar professional · fee schedule · outpatient	$289	$289	—	—	—	$289 – $289
12	Humana choicecare humana ppo professional · fee schedule · inpatient	$305	$305	—	—	—	$305 – $305
13	Humana choicecare humana ppo professional · fee schedule · outpatient	$305	$305	—	—	—	$305 – $305
14	Phcs multiplan phcs professional · fee schedule · inpatient	$312	$312	—	—	—	$312 – $312
15	Phcs multiplan phcs professional · fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
16	Humana humana professional · fee schedule · inpatient	$319	$319	—	—	—	$319 – $319
17	Humana humana professional · fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
18	Oscar oscar professional · fee schedule · inpatient	$324	$324	—	—	—	$324 – $324
19	UnitedHealthcare united healthcare professional · fee schedule · inpatient	$412	$412	—	—	—	$412 – $412
20	UnitedHealthcare united healthcare professional · fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
21	Cigna cigna professional · fee schedule · inpatient	$486	$486	—	—	—	$486 – $486
22	Cigna cigna professional · fee schedule · outpatient	$486	$486	—	—	—	$486 – $486
23	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 5 · 105 rates

Last updated: Mar 31, 2026

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See Anal fistula surgery with fistulotomy or seton placement pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.