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ERCP (bile duct endoscopy) in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 43264

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,4171.1×52026-06-10
Montefiore Medical Center Bronx$6,8611.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$7,3341.5×72026-01-01

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,4171.1×52026-06-10
Montefiore Medical Center Bronx$6,8611.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$8,4421.8×72026-01-01

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7830.8×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,0251.2×72026-01-01
Montefiore Medical Center Bronx$11,4461.5×82026-04-01

Questions

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

3 New York hospitals post usable commercial rates for ercp (bile duct endoscopy) in their federal price-transparency files. For CPT 43264, hospital outpatient, the median across 3 hospitals is $6,861, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.