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

Posted commercial rates at 4 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
Riddle Memorial Hospital Media$3,6980.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.0×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3871.2×12026-03-06
Thomas Jefferson University Hospital Philadelphia$6,9931.8×32026-09-15

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,6980.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.0×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3871.2×12026-03-06
Thomas Jefferson University Hospital Philadelphia$6,9931.8×32026-09-15

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$4,4200.7×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6420.7×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.5×32026-09-15

Questions

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

4 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 4 hospitals is $4,154, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.