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

Posted commercial rates at 3 Tennessee 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
TriStar StoneCrest Medical Center Smyrna$2,8950.8×52026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,2840.9×12026-01-01
Vanderbilt University Medical Center Nashville$3,7671.0×72025-10-01

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$2,8950.8×52026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,2840.9×12026-01-01
Vanderbilt University Medical Center Nashville$3,7671.0×72025-10-01

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5971.0×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,7481.0×32026-09-01
Vanderbilt University Medical Center Nashville$5,8941.0×72025-10-01

Questions

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

3 Tennessee 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 $3,284, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.