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

Posted commercial rates at 15 Utah 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
Mckay-Dee Hospital Ogden$3,4870.9×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$3,4870.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$3,4870.9×12026-08-05
Intermountain Health Logan Regional Hospital Logan$3,7451.0×22026-08-05
Intermountain Health Utah Valley Hospital Provo$4,2141.1×32026-08-05
Lds Hospital Salt Lake City$4,2141.1×32026-08-05
Intermountain Health Park City Hospital Park City$4,2141.1×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$4,2141.1×12026-08-05
Intermountain Medical Center Murray$4,3581.1×22026-08-05
Orem Community Hospital Orem$4,3581.1×22026-08-05
Intermountain Health Alta View Hospital Sandy$4,3581.1×22026-08-05
Intermountain Health Riverton Hospital Riverton$4,3581.1×22026-08-05
Intermountain Health Layton Hospital Layton$4,3581.1×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$4,3581.1×22026-08-05
American Fork Hospital American Fork$4,5021.1×22026-08-05

CPT 43262

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$3,4870.9×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$3,4870.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$3,4870.9×12026-08-05
Intermountain Health Logan Regional Hospital Logan$3,7451.0×22026-08-05
Intermountain Health Utah Valley Hospital Provo$4,2141.1×32026-08-05
Lds Hospital Salt Lake City$4,2141.1×32026-08-05
Intermountain Health Park City Hospital Park City$4,2141.1×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$4,2141.1×12026-08-05
Intermountain Medical Center Murray$4,3581.1×22026-08-05
Orem Community Hospital Orem$4,3581.1×22026-08-05
Intermountain Health Alta View Hospital Sandy$4,3581.1×22026-08-05
Intermountain Health Riverton Hospital Riverton$4,3581.1×22026-08-05
Intermountain Health Layton Hospital Layton$4,3581.1×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$4,3581.1×22026-08-05
American Fork Hospital American Fork$4,5021.1×22026-08-05

CPT 43274

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$5,1880.8×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$5,1880.8×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$5,1880.8×12026-08-05
Intermountain Health Logan Regional Hospital Logan$6,1561.0×22026-08-05
Intermountain Health Utah Valley Hospital Provo$8,8141.4×32026-08-05
Lds Hospital Salt Lake City$8,8141.4×32026-08-05
American Fork Hospital American Fork$8,8141.4×22026-08-05
Intermountain Medical Center Murray$8,9241.4×22026-08-05
Orem Community Hospital Orem$8,9241.4×22026-08-05
Intermountain Health Alta View Hospital Sandy$8,9241.4×22026-08-05
Intermountain Health Riverton Hospital Riverton$8,9241.4×22026-08-05
Intermountain Health Layton Hospital Layton$8,9241.4×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$9,0341.5×22026-08-05

Questions

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

15 Utah hospitals post usable commercial rates for ercp (bile duct endoscopy) in their federal price-transparency files. For CPT 43264, hospital outpatient, the median across 15 hospitals is $4,214, 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.