CPT 46716 Surgery - Digestive
Rep perf anoper/vestib fistu Cost
Body System: Digestive
Medicare Facility Rate
$1,215
CMS PFS CY2026
Medicare Non-Facility Rate
$1,215
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
17.10
Work RVU
14.71
Facility PE RVU
4.57
Malpractice RVU
36.38
Total RVU
Frequently Asked Questions
How much does Rep perf anoper/vestib fistu cost?
The Medicare facility rate is $1,215. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rep perf anoper/vestib fistu cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,215.