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 Remove Duct Calculi
103 hospitals in 33 markets. National Medicare rate $3,939, surgery center $1,987.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,346–$4,991 |
| Austin TX | 2 | — | — | — | $2,879–$5,926 |
| Boston MA | 7 | $5,132 | $5,935 | $6,504 | $4,086–$6,784 |
| California (statewide) | 1 | — | — | — | $11,297–$11,297 |
| Chicago IL | 7 | $4,984 | $5,829 | $6,990 | $4,508–$7,876 |
| Cleveland OH | 5 | $3,502 | $4,528 | $5,070 | $3,256–$6,831 |
| Dallas-Fort Worth TX | 4 | — | — | — | $4,302–$10,734 |
| Denver CO | 7 | $4,874 | $5,004 | $5,415 | $4,754–$5,980 |
| Detroit MI | 6 | $2,610 | $2,940 | $3,704 | $2,610–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,849–$3,849 |
| Kansas (statewide) | 1 | — | — | — | $3,708–$3,708 |
| Las Vegas NV | 2 | — | — | — | $2,516–$4,205 |
| Los Angeles CA | 2 | — | — | — | $6,752–$14,342 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,048–$6,757 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $5,164–$5,164 |
| Nashville TN | 3 | — | — | — | $2,895–$3,767 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $6,861–$7,334 |
| Ohio (statewide) | 1 | — | — | — | $5,714–$5,714 |
| Philadelphia PA | 5 | $3,920 | $6,648 | $6,993 | $3,698–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,968–$3,039 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $8,571 | $8,571 | $11,619 | $8,571–$12,635 |
| Richmond VA | 2 | — | — | — | $5,670–$5,839 |
| San Antonio TX | 1 | — | — | — | $3,695–$3,695 |
| San Diego CA | 1 | — | — | — | $4,959–$4,959 |
| San Francisco Bay Area CA | 3 | — | — | — | $11,715–$19,507 |
| Seattle-Tacoma WA | 6 | $11,886 | $12,864 | $14,744 | $10,359–$16,423 |
| St. Louis MO | 6 | $3,199 | $5,527 | $6,799 | $2,125–$9,062 |
| Tampa FL | 2 | — | — | — | $3,630–$6,330 |
| Washington DC | 6 | $3,959 | $4,946 | $5,321 | $3,233–$8,849 |
| Wisconsin (statewide) | 1 | — | — | — | $4,812–$4,812 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital St Louis | St. Louis MO | $2,125 | 0.6× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $2,423 | 0.6× | 1 | 2026-06-10 |
| Henderson Hospital | Las Vegas NV | $2,516 | 0.6× | 3 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,879 | 0.7× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 0.8× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,968 | 0.7× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,039 | 0.7× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,039 | 0.7× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $3,233 | 0.7× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,256 | 0.9× | 3 | 2026-07-14 |
| Trinity Health Oakland Hospital | Detroit MI | $3,269 | 0.8× | 16 | 2026-03-31 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,284 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,502 | 1.0× | 3 | 2026-06-15 |
| Tampa General Hospital | Tampa FL | $3,630 | 0.9× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $3,695 | 0.9× | 5 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,698 | 0.9× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $3,708 | 1.0× | 5 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $3,752 | 0.8× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,767 | 1.0× | 7 | 2025-10-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,849 | 1.0× | 1 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $3,849 | 1.0× | 6 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,920 | 1.0× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 0.9× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,205 | 1.0× | 7 | 2026-07-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,302 | 1.1× | 3 | 2026-06-29 |
| Emory University Hospital | Atlanta GA | $4,346 | 1.1× | 6 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 1.2× | 1 | 2026-03-06 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,508 | 1.1× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $4,528 | 1.2× | 4 | 2026-06-15 |
| Inova Alexandria Hospital | Washington DC | $4,580 | 1.1× | 6 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,754 | 1.2× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $4,764 | 1.2× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,797 | 1.4× | 3 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,812 | 1.3× | 3 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $4,837 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,846 | 1.1× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,959 | 1.0× | 1 | 2026-03-30 |
| HCA HealthONE Sky Ridge | Denver CO | $4,984 | 1.2× | 4 | 2026-09-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Hca Healthone Rose | Denver CO | $5,004 | 1.2× | 4 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $5,070 | 1.4× | 2 | 2026-06-16 |
| Endeavor Health Edward Hospital | Chicago IL | $5,132 | 1.2× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $5,164 | 1.3× | 4 | 2026-03-31 |
| Reston Hospital Center | Washington DC | $5,312 | 1.3× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,324 | 1.3× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $5,381 | 1.4× | 5 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $5,415 | 1.3× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,415 | 1.3× | 3 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,417 | 1.2× | 1 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 1.1× | 5 | 2026-06-10 |
| Barnes-Jewish West County Hospital | St. Louis MO | $5,527 | 1.4× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $5,527 | 1.4× | 5 | 2025-12-15 |
| Medical City Plano | Dallas-Fort Worth TX | $5,640 | 1.5× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $5,670 | 1.5× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $5,714 | 1.5× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,812 | 1.5× | 1 | 2026-09-02 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,829 | 1.4× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $5,839 | 1.6× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $5,935 | 1.3× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 1.5× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 1.5× | 3 | 2026-06-15 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,238 | 1.4× | 1 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $6,330 | 1.6× | 2 | 2026-01-01 |
| Loyola University Medical Center | Chicago IL | $6,360 | 1.5× | 1 | 2026-03-31 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 1.5× | 3 | 2026-09-15 |
| Keck Hospital Of Usc | Los Angeles CA | $6,752 | 1.4× | 5 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $6,757 | 1.7× | 3 | 2026-03-13 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,770 | 1.5× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $6,784 | 1.5× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,831 | 1.9× | 3 | 2026-06-15 |
| Montefiore Medical Center | New York City | $6,861 | 1.4× | 8 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $6,993 | 1.8× | 3 | 2026-09-15 |
| Barnes Jewish Hospital | St. Louis MO | $7,223 | 1.9× | 5 | 2025-12-15 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $7,334 | 1.5× | 7 | 2026-01-01 |
| Rush University Medical Center | Chicago IL | $7,620 | 1.8× | 2 | 2026-09-25 |
| University of Chicago Medical Center | Chicago IL | $7,876 | 1.9× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 1.9× | 1 | 2026-03-24 |
| Legacy Emanuel Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $8,849 | 1.9× | 3 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $9,062 | 2.4× | 5 | 2025-12-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,359 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,734 | 2.8× | 2 | 2026-04-21 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,297 | 2.3× | 5 | 2026-09-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $11,715 | 2.1× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $11,715 | 2.1× | 6 | 2026-03-23 |
| St Clare Hospital | Seattle-Tacoma WA | $11,834 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $12,044 | 2.7× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $12,635 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $12,635 | 3.0× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $13,684 | 3.1× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 2.9× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,097 | 3.4× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,423 | 3.6× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 3.4× | 4 | 2026-04-01 |
CPT 43262: Endo Cholangiopancreatograph
102 hospitals in 33 markets. National Medicare rate $3,939, surgery center $1,987.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,346–$4,991 |
| Austin TX | 2 | — | — | — | $2,879–$5,926 |
| Boston MA | 7 | $5,132 | $5,935 | $6,504 | $4,086–$6,784 |
| California (statewide) | 1 | — | — | — | $11,297–$11,297 |
| Chicago IL | 7 | $4,984 | $5,829 | $6,929 | $4,508–$7,876 |
| Cleveland OH | 5 | $3,502 | $4,528 | $5,070 | $3,256–$6,831 |
| Dallas-Fort Worth TX | 4 | — | — | — | $4,302–$10,734 |
| Denver CO | 7 | $4,527 | $4,764 | $4,994 | $4,300–$5,980 |
| Detroit MI | 6 | $2,610 | $3,092 | $4,050 | $2,610–$5,812 |
| Georgia (statewide) | 1 | — | — | — | $4,797–$4,797 |
| Houston TX | 1 | — | — | — | $3,849–$3,849 |
| Kansas (statewide) | 1 | — | — | — | $3,708–$3,708 |
| Las Vegas NV | 2 | — | — | — | $2,516–$4,205 |
| Los Angeles CA | 2 | — | — | — | $6,752–$14,342 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,048–$6,757 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $5,164–$5,164 |
| Nashville TN | 3 | — | — | — | $2,895–$3,767 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 2 | — | — | — | $6,861–$8,442 |
| Ohio (statewide) | 1 | — | — | — | $5,714–$5,714 |
| Philadelphia PA | 5 | $3,920 | $6,648 | $6,993 | $3,698–$8,155 |
| Phoenix AZ | 3 | — | — | — | $2,968–$3,039 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $8,571 | $8,571 | $11,619 | $8,571–$12,635 |
| Richmond VA | 2 | — | — | — | $5,670–$5,839 |
| San Antonio TX | 1 | — | — | — | $3,695–$3,695 |
| San Diego CA | 1 | — | — | — | $4,959–$4,959 |
| San Francisco Bay Area CA | 2 | — | — | — | $11,715–$19,507 |
| Seattle-Tacoma WA | 6 | $11,886 | $12,864 | $14,744 | $10,359–$16,423 |
| St. Louis MO | 6 | $3,199 | $5,527 | $6,399 | $2,125–$7,223 |
| Tampa FL | 2 | — | — | — | $3,630–$6,330 |
| Washington DC | 6 | $4,142 | $5,318 | $5,467 | $3,233–$8,849 |
| Wisconsin (statewide) | 1 | — | — | — | $4,812–$4,812 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital St Louis | St. Louis MO | $2,125 | 0.6× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $2,423 | 0.6× | 1 | 2026-06-10 |
| Henderson Hospital | Las Vegas NV | $2,516 | 0.6× | 3 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $2,610 | 0.7× | 1 | 2026-05-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,879 | 0.7× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,895 | 0.8× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,968 | 0.7× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,039 | 0.7× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,039 | 0.7× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $3,233 | 0.7× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,256 | 0.9× | 3 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,284 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,502 | 1.0× | 3 | 2026-06-15 |
| Trinity Health Oakland Hospital | Detroit MI | $3,575 | 0.9× | 16 | 2026-03-31 |
| Tampa General Hospital | Tampa FL | $3,630 | 0.9× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $3,695 | 0.9× | 5 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,698 | 0.9× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $3,708 | 1.0× | 5 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $3,752 | 0.8× | 4 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,767 | 1.0× | 7 | 2025-10-01 |
| Houston Methodist Hospital | Houston TX | $3,849 | 1.0× | 6 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,920 | 1.0× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 0.9× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,205 | 1.0× | 7 | 2026-07-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,209 | 1.1× | 1 | 2026-01-01 |
| Adventhealth Porter | Denver CO | $4,300 | 1.1× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,300 | 1.1× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $4,302 | 1.1× | 3 | 2026-06-29 |
| Emory University Hospital | Atlanta GA | $4,346 | 1.1× | 6 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 1.2× | 1 | 2026-03-06 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,508 | 1.1× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $4,528 | 1.2× | 4 | 2026-06-15 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,754 | 1.2× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $4,764 | 1.2× | 4 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,797 | 1.4× | 3 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,812 | 1.3× | 3 | 2026-01-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $4,837 | 1.2× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,846 | 1.1× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,959 | 1.0× | 1 | 2026-03-30 |
| HCA HealthONE Sky Ridge | Denver CO | $4,984 | 1.2× | 4 | 2026-09-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,991 | 1.3× | 6 | 2026-07-01 |
| Hca Healthone Rose | Denver CO | $5,004 | 1.2× | 4 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $5,070 | 1.4× | 2 | 2026-06-16 |
| Endeavor Health Edward Hospital | Chicago IL | $5,132 | 1.2× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $5,164 | 1.3× | 4 | 2026-03-31 |
| Reston Hospital Center | Washington DC | $5,312 | 1.3× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,324 | 1.3× | 4 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $5,381 | 1.4× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,417 | 1.2× | 1 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 1.1× | 5 | 2026-06-10 |
| Inova Alexandria Hospital | Washington DC | $5,515 | 1.4× | 5 | 2026-04-01 |
| Missouri Baptist Medical Center | St. Louis MO | $5,527 | 1.4× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $5,527 | 1.4× | 5 | 2025-12-15 |
| Medical City Plano | Dallas-Fort Worth TX | $5,640 | 1.5× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $5,670 | 1.5× | 4 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $5,714 | 1.5× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $5,812 | 1.5× | 1 | 2026-09-02 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,829 | 1.4× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $5,839 | 1.6× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $5,935 | 1.3× | 2 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 1.5× | 3 | 2025-11-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 1.5× | 3 | 2026-06-15 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,238 | 1.4× | 1 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $6,330 | 1.6× | 2 | 2026-01-01 |
| Loyola University Medical Center | Chicago IL | $6,360 | 1.5× | 1 | 2026-03-31 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 1.5× | 3 | 2026-09-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $6,690 | 1.7× | 3 | 2025-12-15 |
| Keck Hospital Of Usc | Los Angeles CA | $6,752 | 1.4× | 5 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $6,757 | 1.7× | 3 | 2026-03-13 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,770 | 1.5× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $6,784 | 1.5× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,831 | 1.9× | 3 | 2026-06-15 |
| Montefiore Medical Center | New York City | $6,861 | 1.4× | 8 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $6,993 | 1.8× | 3 | 2026-09-15 |
| Barnes Jewish Hospital | St. Louis MO | $7,223 | 1.9× | 5 | 2025-12-15 |
| Rush University Medical Center | Chicago IL | $7,498 | 1.8× | 2 | 2026-09-25 |
| University of Chicago Medical Center | Chicago IL | $7,876 | 1.9× | 2 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $8,155 | 1.9× | 1 | 2026-03-24 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $8,442 | 1.8× | 7 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $8,571 | 2.0× | 5 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $8,849 | 1.9× | 3 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,359 | 2.3× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,734 | 2.8× | 2 | 2026-04-21 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,297 | 2.3× | 5 | 2026-09-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $11,715 | 2.1× | 6 | 2026-03-23 |
| St Clare Hospital | Seattle-Tacoma WA | $11,834 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $12,044 | 2.7× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $12,635 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $12,635 | 3.0× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $13,684 | 3.1× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 2.9× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $15,097 | 3.4× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,423 | 3.6× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $19,507 | 3.4× | 4 | 2026-04-01 |
CPT 43274: Ercp Duct Stent Placement
94 hospitals in 32 markets. National Medicare rate $6,202, surgery center $3,708.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $4,991–$6,344 |
| Austin TX | 2 | — | — | — | $4,590–$6,035 |
| Boston MA | 7 | $6,756 | $7,208 | $9,004 | $6,140–$10,777 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 7 | $6,190 | $7,044 | $8,492 | $5,908–$9,570 |
| Cleveland OH | 5 | $5,653 | $6,831 | $7,431 | $3,732–$7,944 |
| Dallas-Fort Worth TX | 4 | — | — | — | $8,375–$15,620 |
| Denver CO | 7 | $5,797 | $5,936 | $6,078 | $5,484–$6,176 |
| Detroit MI | 2 | — | — | — | $4,791–$5,640 |
| Georgia (statewide) | 1 | — | — | — | $7,268–$7,268 |
| Houston TX | 1 | — | — | — | $7,316–$7,316 |
| Kansas (statewide) | 1 | — | — | — | $6,348–$6,348 |
| Las Vegas NV | 2 | — | — | — | $4,820–$7,973 |
| Los Angeles CA | 2 | — | — | — | $13,075–$14,342 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $6,048–$7,884 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $7,540–$7,540 |
| Nashville TN | 3 | — | — | — | $5,597–$5,894 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $9,025–$11,446 |
| Ohio (statewide) | 1 | — | — | — | $9,934–$9,934 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $4,839–$5,412 |
| Portland OR | 6 | $13,496 | $13,496 | $18,910 | $13,496–$20,714 |
| Richmond VA | 2 | — | — | — | $7,558–$7,681 |
| San Antonio TX | 1 | — | — | — | $5,500–$5,500 |
| San Diego CA | 1 | — | — | — | $7,808–$7,808 |
| San Francisco Bay Area CA | 3 | — | — | — | $11,715–$22,093 |
| Seattle-Tacoma WA | 6 | $17,788 | $19,142 | $23,290 | $15,972–$26,018 |
| St. Louis MO | 4 | — | — | — | $5,527–$9,994 |
| Tampa FL | 2 | — | — | — | $5,238–$7,450 |
| Washington DC | 4 | — | — | — | $5,053–$8,076 |
| Wisconsin (statewide) | 1 | — | — | — | $4,812–$4,812 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,732 | 0.7× | 2 | 2026-07-14 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 0.7× | 2 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $4,590 | 0.8× | 1 | 2026-01-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 0.7× | 2 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,791 | 0.8× | 16 | 2026-03-31 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $4,812 | 0.8× | 3 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $4,820 | 0.8× | 2 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,839 | 0.8× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,839 | 0.8× | 3 | 2026-04-01 |
| Piedmont Atlanta Hospital | Atlanta GA | $4,991 | 0.8× | 5 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $4,991 | 0.8× | 5 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $4,991 | 0.8× | 5 | 2026-07-01 |
| George Washington Univ Hospital | Washington DC | $5,053 | 0.7× | 3 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $5,238 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $5,412 | 0.8× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $5,484 | 0.9× | 4 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $5,500 | 0.9× | 5 | 2026-09-01 |
| Missouri Baptist Medical Center | St. Louis MO | $5,527 | 0.9× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $5,527 | 0.9× | 5 | 2025-12-15 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 1.0× | 1 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,640 | 0.9× | 1 | 2026-01-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,653 | 1.0× | 3 | 2026-06-15 |
| HCA HealthONE Sky Ridge | Denver CO | $5,706 | 0.9× | 4 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,748 | 1.0× | 3 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 0.8× | 5 | 2026-06-10 |
| Hca Healthone Rose | Denver CO | $5,888 | 0.9× | 4 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $5,894 | 1.0× | 7 | 2025-10-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,908 | 0.9× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,936 | 0.9× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $5,980 | 0.9× | 3 | 2025-11-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $6,020 | 0.9× | 2 | 2026-04-01 |
| St David's Medical Center | Austin TX | $6,035 | 1.0× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,048 | 0.9× | 3 | 2026-06-15 |
| New England Baptist Hospital | Boston MA | $6,140 | 0.8× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $6,176 | 1.0× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $6,176 | 1.0× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,344 | 1.0× | 6 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $6,348 | 1.1× | 4 | 2026-09-01 |
| Loyola University Medical Center | Chicago IL | $6,360 | 1.0× | 1 | 2026-03-31 |
| Beverly Hospital Corporation | Boston MA | $6,481 | 0.9× | 3 | 2026-04-01 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $6,730 | 1.1× | 2 | 2025-12-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $6,831 | 1.2× | 3 | 2026-06-15 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $7,032 | 1.0× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $7,044 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $7,208 | 1.0× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $7,215 | 1.1× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,268 | 1.4× | 3 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $7,316 | 1.2× | 3 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 1.1× | 3 | 2026-09-15 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,431 | 1.3× | 3 | 2026-06-16 |
| Morton Plant Hospital | Tampa FL | $7,450 | 1.2× | 2 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $7,540 | 1.2× | 3 | 2026-03-31 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $7,558 | 1.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $7,681 | 1.3× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $7,742 | 1.2× | 2 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $7,808 | 1.0× | 1 | 2026-03-30 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $7,884 | 1.2× | 4 | 2026-03-13 |
| Medina Hospital | Cleveland OH | $7,944 | 1.4× | 4 | 2026-06-15 |
| University Medical Center of Southern Nevada | Las Vegas NV | $7,973 | 1.2× | 8 | 2026-07-01 |
| Reston Hospital Center | Washington DC | $8,060 | 1.3× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $8,076 | 1.3× | 4 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $8,375 | 1.4× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $8,622 | 1.2× | 1 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $9,025 | 1.2× | 7 | 2026-01-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 1.5× | 3 | 2026-09-15 |
| University of Chicago Medical Center | Chicago IL | $9,241 | 1.4× | 2 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $9,387 | 1.3× | 2 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,475 | 1.6× | 5 | 2026-09-01 |
| Rush University Medical Center | Chicago IL | $9,570 | 1.5× | 2 | 2026-09-25 |
| Bethesda North | Ohio (statewide) | $9,934 | 1.7× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $9,994 | 1.6× | 5 | 2025-12-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $10,777 | 1.5× | 1 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,795 | 1.8× | 3 | 2026-06-29 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 1.6× | 1 | 2026-03-24 |
| Montefiore Medical Center | New York City | $11,446 | 1.5× | 8 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $11,715 | 1.4× | 6 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $11,715 | 1.4× | 6 | 2026-03-23 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 1.5× | 5 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $13,075 | 1.7× | 5 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $13,496 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,496 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,496 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,496 | 2.0× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $14,342 | 1.8× | 3 | 2025-11-26 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $15,620 | 2.6× | 2 | 2026-04-21 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $15,972 | 2.3× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $17,744 | 2.5× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $17,922 | 2.5× | 6 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $20,363 | 2.9× | 5 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $20,714 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $20,714 | 3.1× | 3 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $22,093 | 2.5× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $24,265 | 3.4× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $26,018 | 3.7× | 4 | 2026-08-27 |
Questions
How much do commercial insurers pay hospitals for ercp (bile duct endoscopy)?
Across 103 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 43264, hospital outpatient is $5,415, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,146 to $6,927. 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 St Louis ($2,125), Mercy Hospital Jefferson ($2,423), Henderson Hospital ($2,516). Highest: Stanford Health Care ($19,507), Multicare Good Samaritan Hospital ($16,423), Tacoma General Allenmore Hospital ($15,097). Coverage is limited to the markets listed on this page.