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

Posted commercial rates at 62 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 43264

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Cole Coudersport$1,9410.5×12026-03-06
Upmc Passavant Pittsburgh$2,3920.6×12026-03-07
Upmc St Margaret Pittsburgh$2,4940.7×12026-03-06
St Mary Medical Center Langhorne$2,6160.7×202026-03-31
Nazareth Hospital Philadelphia$2,8560.7×202026-03-31
Upmc East Monroeville$3,1000.8×22026-03-06
Upmc Altoona Altoona$3,1410.8×12026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$3,3060.9×22026-03-06
Jefferson Lansdale Hospital Lansdale$3,3160.9×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$3,4640.9×52026-09-21
Upmc Mckeesport Mc Keesport$3,4850.9×22026-03-06
Upmc Hamot Erie$3,5740.9×32026-03-06
Riddle Memorial Hospital Media$3,6980.9×22026-04-01
Jefferson Abington Hospital Abington$3,7211.0×52026-09-15
Upmc Jameson New Castle$3,7871.0×32026-03-06
Upmc Mercy Pittsburgh$3,8351.0×22026-03-06
Paoli Hospital Paoli$3,8701.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.0×22026-04-01
Temple Health - Chestnut Hill Hospital Philadelphia$3,9611.0×52026-04-08
Lankenau Medical Center Wynnewood$3,9671.1×22026-04-01
Wayne Memorial Hospital Honesdale$4,1401.1×12026-09-16
Upmc Presbyterian Shadyside Pittsburgh$4,3871.2×12026-03-06
Upmc Somerset Somerset$4,5161.2×22026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$4,5631.2×62026-09-15
Jefferson Health-Northeast Philadelphia$4,6421.2×62026-09-15
Lower Bucks Hospital Bristol$4,7431.3×62026-09-01
Roxborough Memorial Hospital Philadelphia$4,7431.2×62024-06-21
Temple University Hospital Philadelphia$5,0661.3×102026-04-13
Upmc Memorial York$5,5881.5×52026-03-06
Hospital Of The Fox Chase Cancer Center Philadelphia$5,6111.4×72026-04-08
Upmc Hanover Hanover$5,8151.5×32026-03-06
Upmc Carlisle Carlisle$5,8231.5×32026-03-06
Upmc Lititz Lititz$5,8471.6×32026-03-06
Wellspan York Hospital York$6,4201.7×32026-01-01
Upmc Washington Washington$6,4841.7×42026-03-06
St Luke'S Hospital Bethlehem Bethlehem$6,6821.7×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$6,6821.8×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$6,6821.7×32026-02-27
Saint Vincent Hospital Erie$6,7821.8×62026-04-14
Jefferson Hospital Jefferson Hills$6,8971.8×62026-04-14
Grove City Hospital Grove City$6,9201.8×62026-04-14
Thomas Jefferson University Hospital Philadelphia$7,6381.9×42026-09-15
Allegheny Valley Hospital Natrona$7,7262.1×62026-04-14
Canonsburg General Hospital Canonsburg$7,7462.1×62026-04-14
Forbes Hospital Monroeville$7,9602.1×62026-04-14
Ahn Wexford Hospital Wexford$8,3312.2×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$8,5182.3×22026-02-26
St Clair Hospital Pittsburgh$8,6172.3×72026-03-31
Robert Packer Hospital Sayre$9,2072.5×102026-03-31
Troy Community Hospital Troy$9,2072.5×12026-03-31
Allegheny General Hospital Pittsburgh$9,5762.5×62026-04-14
West Penn Hospital Pittsburgh$9,6212.6×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$10,2272.7×12026-07-01
Geisinger Community Medical Center Scranton$11,2273.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$11,9543.0×22026-02-26
Penn State Health Hampden Medical Center Enola$12,8843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,0263.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$13,2273.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$14,4383.9×22026-07-01
Wellspan Chambersburg Hospital Chambersburg$15,4364.0×22026-01-01
Penn State Health St. Joseph Reading$17,0504.3×12026-03-27

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Cole Coudersport$1,9040.5×12026-03-06
Upmc Passavant Pittsburgh$2,3920.6×12026-03-07
Upmc St Margaret Pittsburgh$2,4940.7×12026-03-06
St Mary Medical Center Langhorne$2,6160.7×162026-03-31
Nazareth Hospital Philadelphia$2,8560.7×192026-03-31
Upmc East Monroeville$3,1000.8×22026-03-06
Upmc Altoona Altoona$3,1320.8×12026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$3,3060.9×22026-03-06
Jefferson Lansdale Hospital Lansdale$3,3160.9×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$3,4640.9×52026-09-21
Upmc Mckeesport Mc Keesport$3,4850.9×22026-03-06
Upmc Hamot Erie$3,5630.9×32026-03-06
Riddle Memorial Hospital Media$3,6980.9×22026-04-01
Jefferson Abington Hospital Abington$3,7211.0×52026-09-15
Upmc Jameson New Castle$3,7871.0×32026-03-06
Upmc Mercy Pittsburgh$3,8351.0×22026-03-06
Paoli Hospital Paoli$3,8701.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.0×22026-04-01
Temple Health - Chestnut Hill Hospital Philadelphia$3,9611.0×52026-04-08
Lankenau Medical Center Wynnewood$3,9671.1×22026-04-01
Wayne Memorial Hospital Honesdale$4,1401.1×12026-09-16
Upmc Presbyterian Shadyside Pittsburgh$4,3871.2×12026-03-06
Upmc Somerset Somerset$4,5161.2×22026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$4,5631.2×62026-09-15
Jefferson Health-Northeast Philadelphia$4,6421.2×62026-09-15
Lower Bucks Hospital Bristol$4,8291.3×62026-09-01
Roxborough Memorial Hospital Philadelphia$4,8291.2×62024-06-21
Temple University Hospital Philadelphia$5,1381.3×92026-04-13
Upmc Memorial York$5,5881.5×52026-03-06
Upmc Hanover Hanover$5,8151.5×32026-03-06
Upmc Carlisle Carlisle$5,8231.5×32026-03-06
Upmc Lititz Lititz$5,8471.6×32026-03-06
Hospital Of The Fox Chase Cancer Center Philadelphia$5,9411.5×62026-04-08
Wellspan York Hospital York$6,4201.7×32026-01-01
Upmc Washington Washington$6,4841.7×42026-03-06
St Luke'S Hospital Bethlehem Bethlehem$6,6821.7×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$6,6821.8×32026-02-27
Saint Vincent Hospital Erie$6,7821.8×62026-04-14
Jefferson Hospital Jefferson Hills$6,8971.8×62026-04-14
Grove City Hospital Grove City$6,9201.8×62026-04-14
Thomas Jefferson University Hospital Philadelphia$7,6381.9×42026-09-15
Allegheny Valley Hospital Natrona$7,7262.1×62026-04-14
Canonsburg General Hospital Canonsburg$7,7462.1×62026-04-14
Forbes Hospital Monroeville$7,9602.1×62026-04-14
Ahn Wexford Hospital Wexford$8,3312.2×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$8,5182.3×22026-02-26
St Clair Hospital Pittsburgh$8,6172.3×72026-03-31
Robert Packer Hospital Sayre$8,7132.3×102026-03-31
Troy Community Hospital Troy$8,7132.3×12026-03-31
Allegheny General Hospital Pittsburgh$9,5762.5×62026-04-14
West Penn Hospital Pittsburgh$9,6212.6×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$10,2272.7×12026-07-01
Geisinger Community Medical Center Scranton$11,2273.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$11,9543.0×22026-02-26
Penn State Health Hampden Medical Center Enola$12,8843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,0263.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$13,2273.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$14,4383.9×22026-07-01
Wellspan Chambersburg Hospital Chambersburg$15,4364.0×22026-01-01
Penn State Health St. Joseph Reading$17,0504.3×12026-03-27

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Holy Redeemer Hospital And Medical Center Meadowbrook$3,6340.6×52026-09-21
Jefferson Abington Hospital Abington$4,0960.7×52026-09-15
Riddle Memorial Hospital Media$4,4200.7×22026-04-01
Paoli Hospital Paoli$4,5920.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6420.7×22026-04-01
Lankenau Medical Center Wynnewood$4,6890.8×22026-04-01
Upmc East Monroeville$5,7981.0×12026-03-06
Upmc Mckeesport Mc Keesport$5,8221.0×12026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$5,8221.0×12026-03-06
Upmc Mercy Pittsburgh$5,8241.0×12026-03-06
Upmc Altoona Altoona$5,8831.0×12026-03-06
Upmc Jameson New Castle$5,9261.0×32026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$6,2371.0×52026-04-08
Wellspan York Hospital York$6,4201.1×32026-01-01
Lower Bucks Hospital Bristol$6,6191.1×62026-09-01
Roxborough Memorial Hospital Philadelphia$6,6191.1×52024-06-21
Upmc Hamot Erie$7,8261.3×22026-03-06
St Luke'S Hospital Bethlehem Bethlehem$8,1951.3×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$8,1951.4×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$8,1951.3×32026-02-27
Temple University Hospital Philadelphia$8,1961.3×92026-04-13
Upmc Memorial York$9,1331.5×52026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$9,2871.6×62026-09-15
Hospital Of The Fox Chase Cancer Center Philadelphia$9,3561.5×62026-04-08
Jefferson Health-Northeast Philadelphia$9,8101.6×62026-09-15
Robert Packer Hospital Sayre$10,1381.7×102026-03-31
Troy Community Hospital Troy$10,1381.7×12026-03-31
Saint Vincent Hospital Erie$10,6111.8×62026-04-14
Jefferson Hospital Jefferson Hills$10,7921.8×62026-04-14
Uniontown Hospital Uniontown$11,2601.9×42026-07-09
Jefferson Lansdale Hospital Lansdale$11,3731.9×52026-09-15
Allegheny Valley Hospital Natrona$12,0882.0×62026-04-14
Canonsburg General Hospital Canonsburg$12,1202.0×62026-04-14
Grove City Hospital Grove City$12,1812.1×52026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$12,3182.1×22026-02-26
Forbes Hospital Monroeville$12,4542.1×62026-04-14
Ahn Wexford Hospital Wexford$13,0362.2×62026-04-14
Thomas Jefferson University Hospital Philadelphia$13,2202.1×42026-09-15
St Clair Hospital Pittsburgh$13,5692.3×72026-03-31
Nazareth Hospital Philadelphia$14,7262.4×72026-03-31
Allegheny General Hospital Pittsburgh$14,9842.5×62026-04-14
West Penn Hospital Pittsburgh$15,0532.5×62026-04-14
Upmc Carlisle Carlisle$16,0172.6×32026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$16,1032.7×12026-07-01
Upmc Hanover Hanover$16,6932.8×32026-03-06
St Luke'S Hospital - Easton Campus Easton$17,5742.9×22026-02-26
Geisinger Community Medical Center Scranton$17,6773.0×32026-07-01
Penn State Health Hampden Medical Center Enola$20,2873.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$20,5103.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$20,8283.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$22,7353.8×22026-07-01
Wellspan Chambersburg Hospital Chambersburg$24,1524.0×22026-01-01
Penn State Health St. Joseph Reading$26,8474.3×12026-03-27

Questions

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

62 Pennsylvania hospitals post usable commercial rates for ercp (bile duct endoscopy) in their federal price-transparency files. For CPT 43264, hospital outpatient, the median across 61 hospitals is $5,815, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.