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ERCP (bile duct endoscopy) in California: what insurers pay

Posted commercial rates at 7 California hospitals, each next to its own Medicare base rate.

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CPT 43264

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$4,9591.0×12026-03-30
Keck Hospital Of Usc Los Angeles$6,7521.4×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,2972.3×52026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$11,7152.1×62026-03-23
John Muir Medical Center - Concord Campus Concord$11,7152.1×62026-03-23
Cedars-Sinai Medical Center Los Angeles$14,3422.9×32025-11-26
Stanford Health Care Stanford$19,5073.4×42026-04-01

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$4,9591.0×12026-03-30
Keck Hospital Of Usc Los Angeles$6,7521.4×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,2972.3×52026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$11,7152.1×62026-03-23
Cedars-Sinai Medical Center Los Angeles$14,3422.9×32025-11-26
Stanford Health Care Stanford$19,5073.4×42026-04-01

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$7,8081.0×12026-03-30
John Muir Medical Center - Walnut Creek Campus Walnut Creek$11,7151.4×62026-03-23
John Muir Medical Center - Concord Campus Concord$11,7151.4×62026-03-23
Los Robles Hospital & Medical Center Thousand Oaks$11,8551.5×52026-09-01
Keck Hospital Of Usc Los Angeles$13,0751.7×52026-04-01
Cedars-Sinai Medical Center Los Angeles$14,3421.8×32025-11-26
Stanford Health Care Stanford$22,0932.5×42026-04-01

Questions

How much do insurers pay for ercp (bile duct endoscopy) in California?

7 California hospitals post usable commercial rates for ercp (bile duct endoscopy) in their federal price-transparency files. For CPT 43264, hospital outpatient, the median across 7 hospitals is $11,715, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.