How Much Does Remove Internal/extremity Hem 1 Group Cost?
Also known as: Remove int/ext hem 1 group (CPT 46255)
Surgical removal of hemorrhoids (hemorrhoidectomy).
Remove Internal/extremity Hem 1 Group (CPT 46255) costs $351 at Medicare rates. Hospital outpatient rate: $2.
Cost Comparison by Payer
How much Remove int/ext hem 1 group costs across different settings and payers
Patient Guide: Remove Internal/extremity Hem 1 Group
What you need to know before your appointment
What to Expect
Under anesthesia, the surgeon removes the hemorrhoid tissue. This is the most effective treatment but has a more painful recovery than other methods.
How Long Does It Take?
30-45 minutes
Common Reasons Doctors Order This
Large hemorrhoids, external hemorrhoids, thrombosed hemorrhoids, hemorrhoids not responding to banding or other treatments
How to Prepare
Fast before surgery. Stock up on stool softeners and pain medication. Take sitz baths for comfort. Recovery pain lasts 2-3 weeks. Eat high-fiber foods.
Procedures Commonly Done Together
These procedures are frequently performed alongside Remove int/ext hem 1 group
How to Reduce Your Cost for Remove int/ext hem 1 group
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 ($581) differs from the facility rate ($351). 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.
- 4 Check ambulatory surgery centers (ASCs)
This procedure is available at ASCs for $1, compared to $2 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.
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 (17.39) x CF ($33.40) = $581
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Remove int/ext hem 1 group cost?
The Medicare facility rate for Remove int/ext hem 1 group is $351. In a hospital outpatient setting, the rate is $2. At an ambulatory surgery center, the rate is $1. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Remove int/ext hem 1 group cost without insurance?
Without insurance, the cost of Remove int/ext hem 1 group 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 int/ext hem 1 group?
Most commercial health insurance plans and Medicare cover Remove int/ext hem 1 group 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.