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

Bile duct endoscopy with sphincter pressure test

CPT 43263the billing code this page is about

A scope is passed through the mouth to the bile and pancreatic duct opening, and pressure inside the muscular valve there is measured.

Hospitals typically charge $2,245 cash for this outpatient procedure — the median across 445 hospitals that filed a usable cash price; the average of the middle 60% is $2,647. Most fall between $905 and $4,940 (20th–80th percentile).

Hospitals
445
States
45
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 445 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
$625$1,152$2,245$4,558$6,954

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($625 vs $6,954).

How the prices are spread

$570 – $745: 40 hospitals$570$745 – $972: 37 hospitals$972 – $1,270: 30 hospitals$972$1,270 – $1,659: 16 hospitals$1,659 – $2,167: 59 hospitals$1,659$2,167 – $2,830: 55 hospitals$2,830 – $3,697: 43 hospitals$2,830$3,697 – $4,829: 51 hospitals$4,829 – $6,307: 37 hospitals$4,829$6,307 – $8,238: 41 hospitals$6,307median $2,245price bands are equal on a log scale
Hospitals per price band (409 of 445 — the bands cover the 5th to 95th percentile)
FromToHospitals
$570$74540
$745$97237
$972$1,27030
$1,270$1,65916
$1,659$2,16759
$2,167$2,83055
$2,830$3,69743
$3,697$4,82951
$4,829$6,30737
$6,307$8,23841

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,960
Median cash price$2,245
Cash as a multiple of Medicare1.15×

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 $2,245.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,273 across 19 hospitalsIL$1,273Wisconsin: median $3,411 across 25 hospitalsWI$3,411Michigan: median $1,152 across 27 hospitalsMI$1,152New York: median $2,278 across 35 hospitalsNY$2,278Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $905 across 14 hospitalsIA$905Indiana: median $2,099 across 19 hospitalsIN$2,099Ohio: median $3,552 across 23 hospitalsOH$3,552Pennsylvania: median $2,224 across 23 hospitalsPA$2,224New Jersey: median $4,350 across 26 hospitalsNJ$4,350Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,940 across 50 hospitalsCA$4,940Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,663 across 11 hospitalsMO$1,663Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $836 across 10 hospitalsTN$836North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $584 across 12 hospitalsOK$584Louisiana: median $1,353 across 11 hospitalsLA$1,353Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,142 across 20 hospitalsTX$2,142Florida: median $1,690 across 17 hospitalsFL$1,690
Cash price by state, most expensive first. National median $2,245. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA50$4,940+120%$2,323 – $8,238
New Jersey NJ26$4,350+94%$2,102 – $6,311
Ohio OH23$3,552+58%$2,717 – $6,527
Wisconsin WI25$3,411+52%$3,411 – $4,429
New York NY35$2,278+1%$1,960 – $4,595
Pennsylvania PA23$2,224−1%$227 – $3,207
Texas TX20$2,142−5%$1,854 – $2,142
Indiana IN19$2,099−7%$625 – $2,837
Florida FL17$1,690−25%$1,687 – $6,324
Missouri MO11$1,663−26%$900 – $2,211
Louisiana LA11$1,353−40%$904 – $2,321
Illinois IL19$1,273−43%$625 – $3,016
Michigan MI27$1,152−49%$1,152 – $2,639
Iowa IA14$905−60%$905 – $938
Tennessee TN10$836−63%$782 – $2,209
Oklahoma OK12$584−74%$584 – $584
Kentucky KY8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $2,245.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care378$2,245$905 – $4,940
Children’s10fewer than 20 hospitals
Critical access57$2,321$632 – $4,429
Ownership
For-profit36$1,706$656 – $4,686
Government71$2,245$904 – $5,289
Non-profit338$2,278$905 – $4,940
System affiliation
Part of a system381$2,283$1,120 – $4,940
Independent64$1,222$639 – $3,508

Cash price vs list price

Median list price (chargemaster)$4,686
Median cash price$2,245
Cash as a share of list, median hospital59%

At the typical hospital, asking for the cash price cuts the list price by about 41%. 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

292 hospitals filed a usable inpatient cash price for this code. The median is $2,434 and the average of the middle 60% is $2,812; most fall between $905 and $5,289.

Cash price percentiles, inpatient, across 292 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
$609$1,057$2,434$4,940$7,617

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($609 vs $7,617).

Of the 318 hospitals that filed this code inpatient, 292 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

445 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 487 hospitals that filed this code at all gave us
Usable cash price — counted445
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code487

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 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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/Pressure Measurement Sphincter of Oddi.

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 endoscopy with sphincter pressure test (CPT 43263) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43263-bile-duct-endoscopy-with-sphincter-pressure-test