Price AtlasInteractive atlas · All states · techysurgeon.comERCP (bile duct endoscopy): what insurers pay
Endoscopy of the bile and pancreatic ducts: stone removal (43264), sphincterotomy (43262) or stent placement (43274). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 43264: Ercp (Bile Duct Endoscopy)
1160 hospitals in 79 markets. National Medicare rate $3,939, surgery center $1,987.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 16 | $3,527 | $3,900 | $4,535 | $2,673–$8,146 |
| Alaska (statewide) | 3 | — | — | — | $5,543–$11,747 |
| Arizona (statewide) | 6 | $3,210 | $3,951 | $4,228 | $2,336–$5,282 |
| Arkansas (statewide) | 10 | $2,662 | $3,534 | $3,965 | $1,875–$4,543 |
| Atlanta GA | 10 | $4,346 | $4,991 | $4,991 | $4,346–$5,446 |
| Austin TX | 13 | $2,879 | $4,863 | $4,863 | $2,879–$5,654 |
| Boston MA | 16 | $3,822 | $4,708 | $6,156 | $2,886–$7,096 |
| California (statewide) | 69 | $5,200 | $7,799 | $11,297 | $3,879–$14,397 |
| Charlotte NC | 6 | $4,523 | $4,523 | $4,523 | $4,461–$6,054 |
| Chicago IL | 11 | $4,984 | $5,829 | $7,295 | $4,250–$7,876 |
| Cleveland OH | 11 | $3,575 | $4,012 | $4,999 | $3,041–$6,433 |
| Colorado (statewide) | 13 | $3,536 | $5,105 | $6,503 | $3,116–$7,895 |
| Columbus OH | 1 | — | — | — | $13,867–$13,867 |
| Connecticut (statewide) | 3 | — | — | — | $3,362–$25,294 |
| Dallas-Fort Worth TX | 12 | $5,023 | $5,381 | $5,654 | $4,880–$11,353 |
| Denver CO | 15 | $4,590 | $5,105 | $5,934 | $4,384–$6,830 |
| Detroit MI | 14 | $2,610 | $3,496 | $3,846 | $2,610–$5,812 |
| Florida (statewide) | 66 | $5,424 | $6,970 | $7,830 | $2,075–$15,595 |
| Georgia (statewide) | 45 | $4,144 | $4,644 | $5,446 | $2,535–$15,676 |
| Hawaii (statewide) | 4 | — | — | — | $4,406–$5,894 |
| Houston TX | 19 | $4,050 | $4,250 | $5,298 | $3,772–$7,359 |
| Idaho (statewide) | 13 | $3,895 | $9,138 | $9,664 | $3,136–$11,604 |
| Illinois (statewide) | 30 | $3,621 | $5,224 | $7,295 | $2,353–$11,303 |
| Indiana (statewide) | 30 | $5,646 | $9,174 | $14,328 | $3,110–$22,149 |
| Indianapolis IN | 1 | — | — | — | $25,253–$25,253 |
| Iowa (statewide) | 14 | $4,698 | $6,442 | $8,051 | $3,262–$10,390 |
| Kansas (statewide) | 12 | $3,827 | $4,313 | $4,936 | $3,655–$11,747 |
| Kentucky (statewide) | 16 | $2,514 | $4,048 | $4,710 | $2,070–$6,598 |
| Las Vegas NV | 2 | — | — | — | $2,449–$3,010 |
| Los Angeles CA | 17 | $5,523 | $5,930 | $6,958 | $5,080–$14,342 |
| Louisiana (statewide) | 18 | $3,130 | $3,366 | $4,222 | $2,646–$9,797 |
| Maine (statewide) | 17 | $15,589 | $17,504 | $18,098 | $3,804–$22,755 |
| Massachusetts (statewide) | 10 | $3,850 | $4,349 | $5,197 | $3,230–$7,451 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $5,562–$6,576 |
| Michigan (statewide) | 25 | $3,660 | $3,774 | $3,888 | $1,948–$6,631 |
| Minneapolis-St. Paul MN | 9 | $4,518 | $4,674 | $6,610 | $4,336–$8,190 |
| Minnesota (statewide) | 10 | $9,152 | $10,301 | $12,190 | $4,518–$14,159 |
| Mississippi (statewide) | 12 | $3,229 | $3,896 | $4,764 | $3,047–$5,665 |
| Missouri (statewide) | 21 | $3,708 | $4,402 | $4,963 | $2,054–$6,974 |
| Montana (statewide) | 4 | — | — | — | $7,419–$14,737 |
| Nashville TN | 7 | $2,824 | $2,895 | $4,978 | $2,753–$7,320 |
| Nebraska (statewide) | 10 | $3,262 | $3,654 | $4,787 | $2,449–$7,772 |
| Nevada (statewide) | 6 | $2,516 | $4,928 | $7,653 | $2,449–$9,006 |
| New Hampshire (statewide) | 6 | $5,535 | $7,588 | $12,004 | $5,384–$17,265 |
| New Jersey (statewide) | 23 | $5,320 | $7,200 | $7,943 | $4,414–$9,421 |
| New Mexico (statewide) | 6 | $4,398 | $7,720 | $9,191 | $2,346–$10,516 |
| New York (statewide) | 34 | $4,394 | $6,040 | $8,235 | $3,167–$12,428 |
| New York City | 8 | $4,394 | $4,394 | $6,107 | $4,250–$7,340 |
| North Carolina (statewide) | 6 | $5,214 | $9,296 | $9,549 | $3,495–$9,909 |
| North Dakota (statewide) | 5 | $5,176 | $6,763 | $7,003 | $3,163–$8,750 |
| Ohio (statewide) | 35 | $5,176 | $8,263 | $9,438 | $2,738–$14,819 |
| Oklahoma (statewide) | 8 | $6,416 | $7,382 | $8,235 | $3,939–$9,421 |
| Oregon (statewide) | 10 | $8,930 | $10,060 | $12,616 | $7,626–$17,039 |
| Pennsylvania (statewide) | 40 | $4,095 | $6,551 | $9,310 | $1,941–$17,050 |
| Philadelphia PA | 11 | $3,895 | $4,563 | $5,857 | $3,698–$8,155 |
| Phoenix AZ | 8 | $2,876 | $3,004 | $3,039 | $2,600–$3,039 |
| Pittsburgh PA | 12 | $3,254 | $5,436 | $7,784 | $2,392–$9,576 |
| Portland OR | 9 | $8,571 | $8,571 | $12,635 | $7,333–$12,635 |
| Rhode Island (statewide) | 6 | $4,353 | $6,218 | $7,800 | $4,104–$8,858 |
| Richmond VA | 3 | — | — | — | $5,342–$5,350 |
| Rio Grande Valley TX | 6 | $5,010 | $5,106 | $5,673 | $4,861–$5,830 |
| Salt Lake City UT | 9 | $4,214 | $4,358 | $4,358 | $3,487–$4,502 |
| San Antonio TX | 3 | — | — | — | $4,773–$4,823 |
| San Diego CA | 7 | $8,430 | $8,430 | $8,484 | $6,942–$9,144 |
| San Francisco Bay Area CA | 6 | $7,118 | $8,518 | $10,460 | $6,319–$19,507 |
| Seattle-Tacoma WA | 16 | $9,625 | $10,423 | $13,530 | $8,794–$14,702 |
| South Carolina (statewide) | 26 | $6,860 | $7,894 | $9,167 | $3,543–$11,940 |
| South Dakota (statewide) | 4 | — | — | — | $4,760–$6,230 |
| St. Louis MO | 10 | $3,234 | $4,668 | $4,668 | $2,975–$7,753 |
| Tampa FL | 6 | $6,330 | $6,330 | $6,330 | $5,195–$9,268 |
| Tennessee (statewide) | 22 | $2,895 | $3,198 | $4,228 | $2,435–$7,897 |
| Texas (statewide) | 73 | $4,250 | $5,023 | $5,496 | $1,954–$20,580 |
| Utah (statewide) | 6 | $3,552 | $3,980 | $4,214 | $3,487–$4,358 |
| Vermont (statewide) | 1 | — | — | — | $5,111–$5,111 |
| Virginia (statewide) | 20 | $7,246 | $11,847 | $12,821 | $4,830–$17,993 |
| Washington (statewide) | 12 | $9,190 | $10,824 | $12,266 | $3,945–$20,013 |
| Washington DC | 11 | $4,359 | $4,359 | $4,892 | $3,727–$5,819 |
| West Virginia (statewide) | 10 | $5,607 | $6,467 | $11,138 | $3,101–$25,668 |
| Wisconsin (statewide) | 33 | $6,685 | $6,825 | $7,314 | $3,609–$14,115 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Northwest Arkansas | Arkansas (statewide) | $1,875 | 0.5× | 6 | 2026-06-08 |
| Upmc Cole | Pennsylvania (statewide) | $1,941 | 0.5× | 1 | 2026-03-06 |
| Henry Ford Health Providence Southfield Hospital | Michigan (statewide) | $1,948 | 0.5× | 1 | 2026-01-01 |
| Peterson Regional Medical Center | Texas (statewide) | $1,954 | 0.5× | 1 | 2026-08-17 |
| Henry Ford Genesys Hospital | Michigan (statewide) | $1,976 | 0.5× | 2 | 2026-01-01 |
| Ennis Regional Medical Center | Texas (statewide) | $2,035 | 0.5× | 1 | 2026-04-01 |
| St Joseph Medical Center | Missouri (statewide) | $2,054 | 0.5× | 5 | 2026-03-17 |
| Norton Hospital | Kentucky (statewide) | $2,070 | 0.6× | 2 | 2026-02-11 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $2,154 | 0.6× | 2 | 2026-09-25 |
| Mainehealth Waldo Hospital | Maine (statewide) | $18,693 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $19,062 | 5.0× | 2 | 2026-03-30 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 3.4× | 4 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $20,013 | 4.5× | 5 | 2026-08-27 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.0× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.0× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 5.3× | 1 | 2026-09-01 |
| Franciscan Health Michigan City | Indiana (statewide) | $22,149 | 5.4× | 3 | 2026-01-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $22,755 | 6.0× | 1 | 2025-09-09 |
| Franciscan Health Indianapolis | Indianapolis IN | $25,253 | 6.2× | 3 | 2026-01-01 |
| Saint Francis Hospital & Medical Center | Connecticut (statewide) | $25,294 | 5.4× | 19 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $25,668 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43262: Ercp (Bile Duct Endoscopy)
1143 hospitals in 79 markets. National Medicare rate $3,939, surgery center $1,987.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $3,527 | $3,898 | $4,595 | $2,673–$8,146 |
| Alaska (statewide) | 3 | — | — | — | $5,543–$11,710 |
| Arizona (statewide) | 6 | $3,210 | $3,951 | $4,228 | $2,336–$5,282 |
| Arkansas (statewide) | 10 | $2,662 | $3,534 | $3,965 | $1,875–$4,543 |
| Atlanta GA | 10 | $4,346 | $4,991 | $4,991 | $4,346–$5,446 |
| Austin TX | 13 | $2,879 | $4,863 | $4,863 | $2,879–$5,654 |
| Boston MA | 15 | $4,090 | $4,792 | $6,172 | $2,886–$7,096 |
| California (statewide) | 64 | $5,264 | $8,300 | $11,749 | $3,879–$14,397 |
| Charlotte NC | 6 | $4,523 | $4,523 | $4,523 | $4,461–$6,054 |
| Chicago IL | 11 | $4,984 | $5,829 | $7,295 | $4,250–$7,876 |
| Cleveland OH | 11 | $3,575 | $4,012 | $4,999 | $3,041–$6,433 |
| Colorado (statewide) | 13 | $3,512 | $5,415 | $6,503 | $3,106–$7,895 |
| Columbus OH | 1 | — | — | — | $13,867–$13,867 |
| Connecticut (statewide) | 3 | — | — | — | $3,362–$16,064 |
| Dallas-Fort Worth TX | 12 | $5,023 | $5,381 | $5,654 | $4,880–$11,353 |
| Denver CO | 15 | $5,105 | $5,415 | $5,934 | $4,384–$6,830 |
| Detroit MI | 13 | $2,610 | $3,575 | $4,209 | $2,610–$7,447 |
| Florida (statewide) | 68 | $5,360 | $6,950 | $7,625 | $2,075–$15,595 |
| Georgia (statewide) | 44 | $4,123 | $4,679 | $5,446 | $2,535–$15,676 |
| Hawaii (statewide) | 3 | — | — | — | $4,406–$5,092 |
| Houston TX | 19 | $4,050 | $4,250 | $5,298 | $3,772–$7,359 |
| Idaho (statewide) | 13 | $4,721 | $8,787 | $9,664 | $3,261–$11,604 |
| Illinois (statewide) | 30 | $3,655 | $4,896 | $7,295 | $2,353–$11,303 |
| Indiana (statewide) | 28 | $5,757 | $9,087 | $13,874 | $3,110–$20,580 |
| Indianapolis IN | 1 | — | — | — | $16,038–$16,038 |
| Iowa (statewide) | 13 | $4,818 | $6,686 | $8,235 | $3,376–$10,390 |
| Kansas (statewide) | 11 | $3,949 | $4,486 | $5,156 | $3,616–$11,710 |
| Kentucky (statewide) | 16 | $2,664 | $4,048 | $4,710 | $2,070–$6,412 |
| Las Vegas NV | 2 | — | — | — | $2,449–$3,010 |
| Los Angeles CA | 17 | $5,523 | $5,930 | $8,668 | $5,080–$14,342 |
| Louisiana (statewide) | 18 | $3,187 | $3,471 | $4,262 | $2,646–$9,797 |
| Maine (statewide) | 17 | $15,589 | $17,504 | $18,098 | $3,804–$22,755 |
| Massachusetts (statewide) | 10 | $3,850 | $4,349 | $5,197 | $3,230–$7,451 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $5,562–$6,576 |
| Michigan (statewide) | 21 | $3,815 | $3,842 | $3,989 | $2,610–$6,646 |
| Minneapolis-St. Paul MN | 9 | $4,518 | $4,674 | $6,610 | $4,336–$8,190 |
| Minnesota (statewide) | 10 | $9,152 | $10,301 | $12,190 | $4,518–$14,159 |
| Mississippi (statewide) | 12 | $3,294 | $3,896 | $4,764 | $3,047–$5,665 |
| Missouri (statewide) | 20 | $3,708 | $4,494 | $4,978 | $2,302–$7,109 |
| Montana (statewide) | 4 | — | — | — | $7,419–$14,737 |
| Nashville TN | 7 | $2,824 | $2,895 | $4,978 | $2,753–$7,320 |
| Nebraska (statewide) | 10 | $3,376 | $3,394 | $4,625 | $2,449–$7,772 |
| Nevada (statewide) | 6 | $2,516 | $4,928 | $7,653 | $2,449–$9,006 |
| New Hampshire (statewide) | 6 | $5,535 | $7,588 | $12,004 | $5,384–$17,265 |
| New Jersey (statewide) | 26 | $5,651 | $7,210 | $7,762 | $4,414–$9,421 |
| New Mexico (statewide) | 6 | $4,292 | $7,385 | $9,129 | $2,346–$10,516 |
| New York (statewide) | 33 | $4,394 | $5,417 | $8,160 | $3,167–$12,428 |
| New York City | 7 | $4,394 | $4,394 | $6,630 | $4,394–$8,434 |
| North Carolina (statewide) | 6 | $5,214 | $9,296 | $9,549 | $3,534–$9,909 |
| North Dakota (statewide) | 5 | $5,176 | $6,763 | $7,003 | $2,779–$8,750 |
| Ohio (statewide) | 36 | $4,693 | $8,070 | $9,438 | $2,738–$14,819 |
| Oklahoma (statewide) | 8 | $6,416 | $7,382 | $8,235 | $3,939–$9,421 |
| Oregon (statewide) | 10 | $8,930 | $10,060 | $12,616 | $7,626–$17,039 |
| Pennsylvania (statewide) | 39 | $4,050 | $6,420 | $9,167 | $1,904–$17,050 |
| Philadelphia PA | 11 | $3,895 | $4,563 | $5,893 | $3,698–$8,155 |
| Phoenix AZ | 8 | $2,876 | $3,004 | $3,039 | $2,600–$3,039 |
| Pittsburgh PA | 12 | $3,254 | $5,436 | $7,784 | $2,392–$9,576 |
| Portland OR | 9 | $8,571 | $8,571 | $12,635 | $7,333–$12,635 |
| Rhode Island (statewide) | 6 | $4,353 | $6,218 | $7,707 | $2,835–$7,922 |
| Richmond VA | 3 | — | — | — | $5,342–$5,350 |
| Rio Grande Valley TX | 6 | $5,010 | $5,106 | $5,673 | $4,861–$5,830 |
| Salt Lake City UT | 9 | $4,214 | $4,358 | $4,358 | $3,487–$4,502 |
| San Antonio TX | 3 | — | — | — | $4,644–$4,773 |
| San Diego CA | 7 | $8,430 | $8,430 | $8,484 | $6,942–$9,144 |
| San Francisco Bay Area CA | 5 | $7,042 | $7,344 | $9,691 | $6,319–$19,507 |
| Seattle-Tacoma WA | 16 | $9,625 | $10,423 | $13,530 | $8,794–$14,702 |
| South Carolina (statewide) | 26 | $6,900 | $8,329 | $10,290 | $5,099–$16,616 |
| South Dakota (statewide) | 4 | — | — | — | $4,760–$6,230 |
| St. Louis MO | 10 | $3,234 | $4,628 | $4,668 | $2,975–$5,505 |
| Tampa FL | 6 | $6,330 | $6,330 | $6,330 | $5,195–$9,268 |
| Tennessee (statewide) | 22 | $2,895 | $3,198 | $4,280 | $2,435–$7,897 |
| Texas (statewide) | 73 | $4,250 | $5,023 | $5,496 | $1,954–$20,580 |
| Utah (statewide) | 6 | $3,552 | $3,980 | $4,214 | $3,487–$4,358 |
| Vermont (statewide) | 1 | — | — | — | $5,135–$5,135 |
| Virginia (statewide) | 20 | $7,246 | $11,847 | $12,821 | $4,830–$17,993 |
| Washington (statewide) | 12 | $9,190 | $10,824 | $12,266 | $3,945–$20,013 |
| Washington DC | 11 | $4,892 | $5,073 | $5,073 | $3,727–$5,819 |
| West Virginia (statewide) | 11 | $5,884 | $6,494 | $12,558 | $3,101–$25,668 |
| Wisconsin (statewide) | 33 | $6,685 | $6,825 | $7,314 | $3,609–$14,115 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital Northwest Arkansas | Arkansas (statewide) | $1,875 | 0.5× | 6 | 2026-06-08 |
| Upmc Cole | Pennsylvania (statewide) | $1,904 | 0.5× | 1 | 2026-03-06 |
| Peterson Regional Medical Center | Texas (statewide) | $1,954 | 0.5× | 1 | 2026-08-17 |
| Ennis Regional Medical Center | Texas (statewide) | $2,035 | 0.5× | 1 | 2026-04-01 |
| Norton Hospital | Kentucky (statewide) | $2,070 | 0.6× | 2 | 2026-02-11 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $2,075 | 0.5× | 2 | 2026-02-06 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $2,154 | 0.6× | 2 | 2026-09-25 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $2,170 | 0.6× | 1 | 2026-02-28 |
| Mercy Hospital Joplin | Missouri (statewide) | $2,302 | 0.6× | 7 | 2026-06-09 |
| Mercy Hospital Springfield | Missouri (statewide) | $2,307 | 0.6× | 9 | 2026-06-04 |
| Northern Light C A Dean Hospital | Maine (statewide) | $18,098 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $18,098 | 4.8× | 2 | 2026-03-30 |
| Parkview Lagrange Hospital | Indiana (statewide) | $18,563 | 4.5× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $18,693 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $19,062 | 5.0× | 2 | 2026-03-30 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 3.4× | 4 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $20,013 | 4.5× | 5 | 2026-08-27 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.0× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.0× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 5.3× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $22,755 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $25,668 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 43274: Ercp (Bile Duct Endoscopy)
1101 hospitals in 78 markets. National Medicare rate $6,202, surgery center $3,708.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 16 | $5,553 | $6,254 | $7,134 | $2,673–$10,615 |
| Alaska (statewide) | 3 | — | — | — | $7,458–$22,185 |
| Arizona (statewide) | 6 | $5,300 | $5,384 | $6,317 | $3,746–$10,268 |
| Arkansas (statewide) | 9 | $5,524 | $5,705 | $6,556 | $5,000–$7,526 |
| Atlanta GA | 10 | $4,991 | $6,344 | $6,344 | $4,991–$7,606 |
| Austin TX | 13 | $4,590 | $5,675 | $5,675 | $4,590–$8,909 |
| Boston MA | 15 | $5,628 | $6,984 | $9,591 | $4,594–$11,296 |
| California (statewide) | 63 | $8,508 | $11,835 | $18,163 | $4,955–$22,526 |
| Charlotte NC | 6 | $7,077 | $7,077 | $7,077 | $6,981–$17,122 |
| Chicago IL | 10 | $6,105 | $7,170 | $7,630 | $5,138–$9,570 |
| Cleveland OH | 11 | $5,286 | $6,318 | $6,574 | $4,208–$11,487 |
| Colorado (statewide) | 12 | $5,933 | $7,360 | $8,907 | $4,469–$13,976 |
| Columbus OH | 1 | — | — | — | $21,836–$21,836 |
| Connecticut (statewide) | 3 | — | — | — | $5,215–$25,294 |
| Dallas-Fort Worth TX | 12 | $6,382 | $7,242 | $9,956 | $5,023–$14,896 |
| Denver CO | 15 | $6,049 | $6,118 | $7,214 | $5,787–$12,078 |
| Detroit MI | 4 | — | — | — | $3,584–$8,107 |
| Florida (statewide) | 65 | $6,368 | $7,522 | $8,488 | $3,285–$15,849 |
| Georgia (statewide) | 43 | $4,991 | $5,920 | $7,606 | $3,163–$24,626 |
| Hawaii (statewide) | 4 | — | — | — | $7,472–$8,902 |
| Houston TX | 18 | $4,807 | $7,867 | $8,534 | $4,531–$11,587 |
| Idaho (statewide) | 13 | $6,134 | $13,495 | $15,120 | $5,241–$19,820 |
| Illinois (statewide) | 28 | $4,463 | $7,226 | $10,119 | $3,577–$17,685 |
| Indiana (statewide) | 30 | $9,052 | $12,204 | $21,704 | $5,590–$28,641 |
| Indianapolis IN | 1 | — | — | — | $25,253–$25,253 |
| Iowa (statewide) | 14 | $8,659 | $10,412 | $12,801 | $6,202–$16,256 |
| Kansas (statewide) | 10 | $6,262 | $6,896 | $8,082 | $4,600–$22,185 |
| Kentucky (statewide) | 13 | $7,020 | $7,597 | $9,542 | $5,710–$11,540 |
| Las Vegas NV | 2 | — | — | — | $4,820–$7,973 |
| Los Angeles CA | 18 | $8,543 | $9,214 | $10,703 | $7,537–$15,137 |
| Louisiana (statewide) | 17 | $5,411 | $5,936 | $7,458 | $3,112–$10,317 |
| Maine (statewide) | 16 | $24,392 | $27,682 | $28,318 | $12,958–$35,604 |
| Massachusetts (statewide) | 9 | $5,142 | $7,484 | $8,330 | $4,785–$11,994 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,256–$6,340 |
| Michigan (statewide) | 21 | $5,531 | $5,611 | $5,996 | $3,708–$9,718 |
| Minneapolis-St. Paul MN | 9 | $4,518 | $7,208 | $9,068 | $4,336–$12,814 |
| Minnesota (statewide) | 10 | $13,710 | $15,664 | $18,206 | $4,518–$21,070 |
| Mississippi (statewide) | 13 | $4,096 | $5,717 | $8,442 | $3,047–$10,991 |
| Missouri (statewide) | 20 | $4,979 | $6,371 | $10,616 | $4,193–$18,000 |
| Montana (statewide) | 4 | — | — | — | $11,850–$17,101 |
| Nashville TN | 7 | $5,748 | $5,748 | $8,584 | $5,597–$11,706 |
| Nebraska (statewide) | 10 | $7,990 | $8,645 | $8,898 | $4,820–$18,020 |
| Nevada (statewide) | 6 | $4,820 | $5,512 | $10,466 | $4,820–$14,180 |
| New Hampshire (statewide) | 6 | $9,066 | $17,080 | $19,936 | $6,773–$27,186 |
| New Jersey (statewide) | 26 | $6,907 | $8,029 | $8,766 | $6,397–$12,859 |
| New Mexico (statewide) | 6 | $10,015 | $12,014 | $12,298 | $3,174–$17,734 |
| New York (statewide) | 33 | $5,783 | $8,336 | $12,818 | $4,640–$19,030 |
| New York City | 7 | $4,648 | $4,655 | $7,543 | $4,622–$12,235 |
| North Carolina (statewide) | 6 | $6,554 | $11,112 | $14,573 | $5,176–$15,037 |
| North Dakota (statewide) | 5 | $7,880 | $8,605 | $10,064 | $5,176–$13,022 |
| Ohio (statewide) | 36 | $7,872 | $11,228 | $13,562 | $3,584–$23,334 |
| Oklahoma (statewide) | 9 | $6,886 | $10,120 | $12,370 | $3,721–$14,555 |
| Oregon (statewide) | 10 | $12,961 | $15,875 | $20,278 | $11,312–$27,237 |
| Pennsylvania (statewide) | 36 | $8,103 | $11,316 | $16,250 | $3,634–$26,847 |
| Philadelphia PA | 11 | $4,617 | $7,409 | $9,548 | $4,096–$13,220 |
| Phoenix AZ | 8 | $4,839 | $5,126 | $6,104 | $4,839–$8,182 |
| Pittsburgh PA | 8 | $5,824 | $11,440 | $12,600 | $5,798–$14,984 |
| Portland OR | 9 | $15,295 | $15,295 | $22,950 | $14,412–$22,950 |
| Rhode Island (statewide) | 6 | $6,182 | $7,502 | $8,716 | $5,352–$11,065 |
| Richmond VA | 3 | — | — | — | $6,980–$7,225 |
| Rio Grande Valley TX | 6 | $7,322 | $7,749 | $7,889 | $7,227–$8,192 |
| Salt Lake City UT | 9 | $8,814 | $8,924 | $8,924 | $5,188–$9,034 |
| San Antonio TX | 3 | — | — | — | $4,807–$7,266 |
| San Diego CA | 5 | $13,274 | $13,274 | $13,274 | $13,274–$13,446 |
| San Francisco Bay Area CA | 6 | $8,855 | $10,008 | $11,096 | $7,042–$22,093 |
| Seattle-Tacoma WA | 16 | $16,283 | $16,663 | $20,135 | $14,998–$22,778 |
| South Carolina (statewide) | 29 | $8,224 | $10,248 | $13,486 | $4,407–$34,118 |
| South Dakota (statewide) | 2 | — | — | — | $7,084–$8,725 |
| St. Louis MO | 9 | $4,668 | $5,638 | $10,128 | $4,668–$13,682 |
| Tampa FL | 6 | $7,450 | $7,450 | $7,450 | $5,282–$10,426 |
| Tennessee (statewide) | 22 | $5,240 | $5,748 | $7,350 | $3,236–$12,356 |
| Texas (statewide) | 71 | $5,023 | $6,598 | $8,606 | $3,300–$28,641 |
| Utah (statewide) | 4 | — | — | — | $5,188–$8,924 |
| Virginia (statewide) | 17 | $10,756 | $12,599 | $16,241 | $5,965–$28,332 |
| Washington (statewide) | 12 | $14,984 | $16,956 | $19,952 | $5,871–$29,782 |
| Washington DC | 9 | $6,056 | $6,056 | $6,056 | $5,053–$7,357 |
| West Virginia (statewide) | 6 | $8,828 | $10,183 | $17,357 | $6,608–$24,101 |
| Wisconsin (statewide) | 32 | $6,746 | $10,375 | $11,012 | $3,609–$18,699 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Southeast Health Medical Center | Alabama (statewide) | $2,673 | 0.5× | 1 | 2026-03-10 |
| Ochsner Stennis Memorial Hospital | Mississippi (statewide) | $3,047 | 0.6× | 5 | 2026-04-01 |
| Ochsner Laird Hospital | Mississippi (statewide) | $3,058 | 0.6× | 5 | 2026-04-01 |
| St James Parish Hospital | Louisiana (statewide) | $3,112 | 0.6× | 3 | 2026-04-01 |
| Atrium Health Navicent Peach | Georgia (statewide) | $3,163 | 0.6× | 2 | 2025-11-19 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $3,174 | 0.5× | 1 | 2026-04-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,236 | 0.6× | 1 | 2026-04-01 |
| Uf Health Leesburg Hospital | Florida (statewide) | $3,285 | 0.5× | 1 | 2026-03-31 |
| Peterson Regional Medical Center | Texas (statewide) | $3,300 | 0.5× | 1 | 2026-08-17 |
| Ochsner Watkins Hospital | Mississippi (statewide) | $3,372 | 0.6× | 4 | 2026-04-01 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $3,437 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $3,437 | 0.5× | 2 | 2026-02-06 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $28,318 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $28,318 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $28,318 | 4.7× | 2 | 2026-03-30 |
| Carilion Rockbridge Community Hospital | Virginia (statewide) | $28,332 | 4.8× | 1 | 2025-12-15 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 4.5× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 4.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 4.7× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $29,248 | 4.9× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $29,782 | 4.2× | 5 | 2026-08-27 |
| Northern Light Mayo Hospital | Maine (statewide) | $29,825 | 5.0× | 2 | 2026-03-30 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 6.0× | 1 | 2026-07-20 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $35,604 | 6.0× | 1 | 2025-09-09 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for ercp (bile duct endoscopy)?
Across 1160 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 43264, hospital outpatient is $5,438, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,155 to $7,968. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for ercp (bile duct endoscopy)?
Medicare's national hospital outpatient rate for CPT 43264 is $3,939 and its surgery-center rate is $1,987, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for ercp (bile duct endoscopy)?
Lowest medians: Mercy Hospital Northwest Arkansas ($1,875), Upmc Cole ($1,941), Henry Ford Health Providence Southfield Hospital ($1,948). Highest: Logan Regional Medical Center ($25,668), Saint Francis Hospital & Medical Center ($25,294), Franciscan Health Indianapolis ($25,253). Coverage: every hospital whose price file we could read.