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

Bile duct scope exam with cutting of the duct opening

CPT 43262the billing code this page is about

During a scope exam of the bile and pancreatic ducts, the muscular valve at the duct opening into the intestine is cut to widen it.

Hospitals typically charge $3,632 cash for this outpatient procedure — the median across 1,114 hospitals that filed a usable cash price; the average of the middle 60% is $3,684. Most fall between $1,407 and $7,078 (20th–80th percentile).

Hospitals
1,114
States
50
Filings dated
Jun 2024 – 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 1,114 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
$812$1,660$3,632$6,026$9,434

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($812 vs $9,434).

How the prices are spread

$640 – $859: 73 hospitals$640$859 – $1,154: 72 hospitals$1,154 – $1,550: 63 hospitals$1,154$1,550 – $2,083: 97 hospitals$2,083 – $2,798: 97 hospitals$2,083$2,798 – $3,758: 122 hospitals$3,758 – $5,049: 186 hospitals$3,758$5,049 – $6,782: 107 hospitals$6,782 – $9,111: 117 hospitals$6,782$9,111 – $12,238: 73 hospitals$9,111median $3,632price bands are equal on a log scale
Hospitals per price band (1,007 of 1,114 — the bands cover the 5th to 95th percentile)
FromToHospitals
$640$85973
$859$1,15472
$1,154$1,55063
$1,550$2,08397
$2,083$2,79897
$2,798$3,758122
$3,758$5,049186
$5,049$6,782107
$6,782$9,111117
$9,111$12,23873

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$3,632
Cash as a multiple of Medicare0.92×

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 $3,632.

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: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,657 across 17 hospitalsWA$2,657Idaho: median $5,594 across 12 hospitalsID$5,594Montana: 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 $2,895 across 25 hospitalsMN$2,895Illinois: median $1,844 across 37 hospitalsIL$1,844Wisconsin: median $2,313 across 41 hospitalsWI$2,313Michigan: median $1,445 across 36 hospitalsMI$1,445New York: median $4,410 across 66 hospitalsNY$4,410Massachusetts: median $4,894 across 37 hospitalsMA$4,894Oregon: median $1,106 across 16 hospitalsOR$1,106Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $905 across 18 hospitalsIA$905Indiana: median $2,305 across 29 hospitalsIN$2,305Ohio: median $6,875 across 74 hospitalsOH$6,875Pennsylvania: median $4,555 across 59 hospitalsPA$4,555New Jersey: median $4,909 across 45 hospitalsNJ$4,909Connecticut: median $18,656 across 13 hospitalsCT$18,656Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,332 across 98 hospitalsCA$5,332Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,803 across 17 hospitalsCO$2,803Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,589 across 33 hospitalsMO$2,589Kentucky: median $6,273 across 15 hospitalsKY$6,273West Virginia: median $1,323 across 17 hospitalsWV$1,323Virginia: median $3,648 across 18 hospitalsVA$3,648Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $1,443 across 13 hospitalsAR$1,443Tennessee: median $2,859 across 21 hospitalsTN$2,859North Carolina: median $3,134 across 19 hospitalsNC$3,134South Carolina: median $4,190 across 23 hospitalsSC$4,190Oklahoma: median $745 across 19 hospitalsOK$745Louisiana: median $1,760 across 25 hospitalsLA$1,760Mississippi: median $2,085 across 17 hospitalsMS$2,085Alabama: median $3,030 across 16 hospitalsAL$3,030Georgia: median $1,935 across 30 hospitalsGA$1,935Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,283 across 73 hospitalsTX$2,283Florida: median $5,257 across 38 hospitalsFL$5,257
Cash price by state, most expensive first. National median $3,632. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$18,656+414%$4,096 – $18,656
Ohio OH74$6,875+89%$3,536 – $11,376
Kentucky KY15$6,273+73%$595 – $15,277
Idaho ID12$5,594+54%$2,575 – $8,663
California CA98$5,332+47%$2,720 – $7,930
Florida FL38$5,257+45%$3,806 – $7,546
New Jersey NJ45$4,909+35%$4,211 – $5,741
Massachusetts MA37$4,894+35%$3,680 – $9,966
Pennsylvania PA59$4,555+25%$3,055 – $6,970
New York NY66$4,410+21%$1,161 – $4,595
South Carolina SC23$4,190+15%$2,432 – $6,777
Virginia VA18$3,6480%$1,804 – $9,616
North Carolina NC19$3,134−14%$1,750 – $3,984
Alabama AL16$3,030−17%$1,407 – $9,373
Minnesota MN25$2,895−20%$820 – $5,339
Tennessee TN21$2,859−21%$776 – $3,569
Colorado CO17$2,803−23%$2,155 – $3,976
Washington WA17$2,657−27%$708 – $7,111
Missouri MO33$2,589−29%$1,417 – $8,936
Wisconsin WI41$2,313−36%$1,990 – $4,548
Indiana IN29$2,305−37%$762 – $6,451
Texas TX73$2,283−37%$1,534 – $3,854
Mississippi MS17$2,085−43%$1,036 – $3,217
Georgia GA30$1,935−47%$1,935 – $4,548
Illinois IL37$1,844−49%$812 – $4,410
Louisiana LA25$1,760−52%$1,113 – $2,287
Michigan MI36$1,445−60%$1,391 – $4,862
Arkansas AR13$1,443−60%$953 – $2,956
West Virginia WV17$1,323−64%$711 – $3,370
Oregon OR16$1,106−70%$640 – $7,616
Iowa IA18$905−75%$905 – $5,817
Oklahoma OK19$745−79%$745 – $7,757
Hawaii HI9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
South Dakota SD5not 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 $3,632.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care959$3,792$1,445 – $7,239
Children’s25$2,697$1,407 – $5,627
Critical access124$2,111$946 – $6,216
Ownership
For-profit126$3,730$1,492 – $8,663
Government145$3,162$1,102 – $6,290
Non-profit837$3,730$1,440 – $7,181
System affiliation
Part of a system940$3,806$1,492 – $7,532
Independent174$2,720$817 – $5,250

Cash price vs list price

Median list price (chargemaster)$6,337
Median cash price$3,632
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

720 hospitals filed a usable inpatient cash price for this code. The median is $3,464 and the average of the middle 60% is $3,328; most fall between $1,063 and $6,432.

Cash price percentiles, inpatient, across 720 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
$745$1,468$3,464$5,522$8,388

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($745 vs $8,388).

Of the 772 hospitals that filed this code inpatient, 720 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

1,114 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,204 hospitals that filed this code at all gave us
Usable cash price — counted1,114
Cash price carrying a plausibility flag — shown on the compare tool, excluded here58
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded27
Hospitals that filed this code1,204

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 W/Sphincterotomy/Papillotomy.

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, “Bile duct scope exam with cutting of the duct opening (CPT 43262) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43262-bile-duct-scope-exam-with-cutting-of-the-duct-opening