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ERCP (bile duct endoscopy) in Rhode Island: what insurers pay

Posted commercial rates at 6 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 43264

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$4,1040.9×82026-09-19
Kent County Memorial Hospital Warwick$4,1370.9×42026-02-28
Landmark Medical Center Woonsocket$5,0001.1×42026-09-01
The Miriam Hospital Providence$7,4361.7×32026-04-01
Rhode Island Hospital Providence$7,9221.8×52026-04-01
Newport Hospital Newport$8,8582.0×52026-04-01

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$2,8350.7×102026-09-19
Kent County Memorial Hospital Warwick$4,1370.9×42026-02-28
Landmark Medical Center Woonsocket$5,0001.1×42026-09-01
The Miriam Hospital Providence$7,4361.7×32026-04-01
Newport Hospital Newport$7,7971.8×52026-04-01
Rhode Island Hospital Providence$7,9221.8×52026-04-01

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$5,3520.8×42026-02-28
Westerly Hospital Westerly$6,0040.9×82026-09-19
Landmark Medical Center Woonsocket$6,7161.0×42026-09-01
Rhode Island Hospital Providence$8,2881.2×52026-04-01
Newport Hospital Newport$8,8581.3×52026-04-01
The Miriam Hospital Providence$11,0651.6×32026-04-01

Questions

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

6 Rhode Island hospitals post usable commercial rates for ercp (bile duct endoscopy) in their federal price-transparency files. For CPT 43264, hospital outpatient, the median across 6 hospitals is $6,218, 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.