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Procedure price report · Endoscopic retrograde cannulation of pancreas (ERCP)

Scope exam of the bile and pancreatic ducts

CPT 43260the billing code this page is about

A scope is passed through the mouth to the small intestine and the bile and pancreatic ducts are entered and examined, including collection of cell samples by brushing or washing.

Hospitals typically charge $3,517 cash for this outpatient procedure — the median across 1,134 hospitals that filed a usable cash price; the average of the middle 60% is $3,300. Most fall between $977 and $5,702 (20th–80th percentile).

Hospitals
1,134
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,134 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$667$1,410$3,517$4,952$8,364

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($667 vs $8,364).

How the prices are spread

$513 – $699: 81 hospitals$513$699 – $953: 79 hospitals$953 – $1,298: 52 hospitals$953$1,298 – $1,769: 64 hospitals$1,769 – $2,411: 109 hospitals$1,769$2,411 – $3,285: 95 hospitals$3,285 – $4,477: 190 hospitals$3,285$4,477 – $6,101: 201 hospitals$6,101 – $8,314: 89 hospitals$6,101$8,314 – $11,330: 62 hospitals$8,314median $3,517price bands are equal on a log scale
Hospitals per price band (1,022 of 1,134 — the bands cover the 5th to 95th percentile)
FromToHospitals
$513$69981
$699$95379
$953$1,29852
$1,298$1,76964
$1,769$2,411109
$2,411$3,28595
$3,285$4,477190
$4,477$6,101201
$6,101$8,31489
$8,314$11,33062

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$3,517
Cash as a multiple of Medicare0.89×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,517.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,538 across 13 hospitalsWA$4,538Idaho: median $7,273 across 11 hospitalsID$7,273Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,475 across 33 hospitalsMN$2,475Illinois: median $1,637 across 41 hospitalsIL$1,637Wisconsin: median $4,547 across 42 hospitalsWI$4,547Michigan: median $978 across 34 hospitalsMI$978New York: median $3,535 across 48 hospitalsNY$3,535Massachusetts: median $5,300 across 31 hospitalsMA$5,300Oregon: median $886 across 21 hospitalsOR$886Nevada: median $1,517 across 10 hospitalsNV$1,517Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $817 across 20 hospitalsIA$817Indiana: median $2,111 across 24 hospitalsIN$2,111Ohio: median $5,448 across 65 hospitalsOH$5,448Pennsylvania: median $4,546 across 63 hospitalsPA$4,546New Jersey: median $4,909 across 45 hospitalsNJ$4,909Connecticut: median $5,063 across 12 hospitalsCT$5,063Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,524 across 98 hospitalsCA$4,524Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,853 across 19 hospitalsCO$2,853Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,332 across 31 hospitalsMO$2,332Kentucky: median $3,149 across 19 hospitalsKY$3,149West Virginia: median $1,387 across 14 hospitalsWV$1,387Virginia: median $2,882 across 16 hospitalsVA$2,882Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,471 across 11 hospitalsAZ$1,471New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $1,979 across 15 hospitalsAR$1,979Tennessee: median $2,821 across 20 hospitalsTN$2,821North Carolina: median $2,620 across 20 hospitalsNC$2,620South Carolina: median $3,684 across 21 hospitalsSC$3,684Oklahoma: median $973 across 22 hospitalsOK$973Louisiana: median $1,761 across 22 hospitalsLA$1,761Mississippi: median $1,996 across 19 hospitalsMS$1,996Alabama: median $3,829 across 17 hospitalsAL$3,829Georgia: median $4,441 across 46 hospitalsGA$4,441Hawaii: median $2,386 across 10 hospitalsHI$2,386Texas: median $3,730 across 77 hospitalsTX$3,730Florida: median $3,806 across 56 hospitalsFL$3,806
Cash price by state, most expensive first. National median $3,517. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$7,273+107%$2,297 – $8,663
Ohio OH65$5,448+55%$3,955 – $8,921
Massachusetts MA31$5,300+51%$2,938 – $9,966
Connecticut CT12$5,063+44%$3,944 – $18,656
New Jersey NJ45$4,909+40%$4,211 – $5,741
Wisconsin WI42$4,547+29%$1,795 – $4,943
Pennsylvania PA63$4,546+29%$969 – $6,432
Washington WA13$4,538+29%$578 – $6,938
California CA98$4,524+29%$1,980 – $7,767
Georgia GA46$4,441+26%$1,829 – $5,439
Alabama AL17$3,829+9%$948 – $9,205
Florida FL56$3,806+8%$3,045 – $6,115
Texas TX77$3,730+6%$977 – $4,495
South Carolina SC21$3,684+5%$2,197 – $3,684
New York NY48$3,535+1%$778 – $4,680
Kentucky KY19$3,149−10%$520 – $15,277
Virginia VA16$2,882−18%$1,838 – $4,719
Colorado CO19$2,853−19%$1,948 – $4,319
Tennessee TN20$2,821−20%$358 – $2,859
North Carolina NC20$2,620−26%$1,750 – $3,841
Minnesota MN33$2,475−30%$1,402 – $4,885
Hawaii HI10$2,386−32%$328 – $4,424
Missouri MO31$2,332−34%$900 – $3,370
Indiana IN24$2,111−40%$687 – $3,467
Mississippi MS19$1,996−43%$1,041 – $3,011
Arkansas AR15$1,979−44%$621 – $2,196
Louisiana LA22$1,761−50%$1,207 – $2,400
Illinois IL41$1,637−53%$817 – $3,420
Nevada NV10$1,517−57%$1,104 – $4,193
Arizona AZ11$1,471−58%$1,167 – $10,190
West Virginia WV14$1,387−61%$689 – $3,404
Michigan MI34$978−72%$910 – $5,301
Oklahoma OK22$973−72%$672 – $5,020
Oregon OR21$886−75%$578 – $7,616
Iowa IA20$817−77%$768 – $1,909
New Mexico NM9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,517.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care966$3,693$1,060 – $5,827
Children’s25$3,988$1,095 – $7,405
Critical access137$1,795$765 – $4,792
Ownership
For-profit122$3,842$1,354 – $7,014
Government169$2,821$898 – $5,187
Non-profit837$3,684$978 – $5,623
System affiliation
Part of a system955$3,700$1,156 – $5,875
Independent179$2,562$688 – $4,870

Cash price vs list price

Median list price (chargemaster)$5,703
Median cash price$3,517
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

776 hospitals filed a usable inpatient cash price for this code. The median is $3,379 and the average of the middle 60% is $3,238; most fall between $977 and $5,623.

Cash price percentiles, inpatient, across 776 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$667$1,354$3,379$4,885$8,037

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($667 vs $8,037).

Of the 840 hospitals that filed this code inpatient, 776 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 38 a list price only.

How complete is this

1,134 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,226 hospitals that filed this code at all gave us
Usable cash price — counted1,134
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded41
Hospitals that filed this code1,226

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Endoscopic retrograde cannulation of pancreas (ERCP) family.

Hospitals file this code under descriptions such as Ercp Dx Collection Specimen Brushing/Washing.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Scope exam of the bile and pancreatic ducts (CPT 43260) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43260-scope-exam-of-the-bile-and-pancreatic-ducts