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

Bile duct scope exam with removal of stones or debris

CPT 43264the billing code this page is about

During a scope exam of the bile and pancreatic ducts, stones or sludge are pulled out of the ducts with a basket or balloon.

Hospitals typically charge $3,626 cash for this outpatient procedure — the median across 1,165 hospitals that filed a usable cash price; the average of the middle 60% is $3,578. Most fall between $1,492 and $6,667 (20th–80th percentile).

Hospitals
1,165
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 1,165 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
$850$1,848$3,626$5,659$9,467

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($850 vs $9,467).

How the prices are spread

$653 – $877: 72 hospitals$653$877 – $1,178: 66 hospitals$1,178 – $1,583: 69 hospitals$1,178$1,583 – $2,127: 98 hospitals$2,127 – $2,858: 133 hospitals$2,127$2,858 – $3,840: 131 hospitals$3,840 – $5,160: 211 hospitals$3,840$5,160 – $6,933: 117 hospitals$6,933 – $9,315: 91 hospitals$6,933$9,315 – $12,516: 67 hospitals$9,315median $3,626price bands are equal on a log scale
Hospitals per price band (1,055 of 1,165 — the bands cover the 5th to 95th percentile)
FromToHospitals
$653$87772
$877$1,17866
$1,178$1,58369
$1,583$2,12798
$2,127$2,858133
$2,858$3,840131
$3,840$5,160211
$5,160$6,933117
$6,933$9,31591
$9,315$12,51667

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$3,626
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 $3,626.

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: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,531 across 17 hospitalsWA$2,531Idaho: median $5,805 across 12 hospitalsID$5,805Montana: 5 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 $3,861 across 26 hospitalsMN$3,861Illinois: median $1,694 across 38 hospitalsIL$1,694Wisconsin: median $2,322 across 42 hospitalsWI$2,322Michigan: median $1,515 across 36 hospitalsMI$1,515New York: median $4,502 across 69 hospitalsNY$4,502Massachusetts: median $4,920 across 35 hospitalsMA$4,920Oregon: median $1,001 across 21 hospitalsOR$1,001Nevada: 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 $922 across 20 hospitalsIA$922Indiana: median $2,519 across 32 hospitalsIN$2,519Ohio: median $6,991 across 74 hospitalsOH$6,991Pennsylvania: median $4,546 across 61 hospitalsPA$4,546New Jersey: median $4,988 across 41 hospitalsNJ$4,988Connecticut: median $12,516 across 14 hospitalsCT$12,516Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,060 across 99 hospitalsCA$4,060Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,803 across 18 hospitalsCO$2,803Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,993 across 36 hospitalsMO$2,993Kentucky: median $2,711 across 14 hospitalsKY$2,711West Virginia: median $1,404 across 15 hospitalsWV$1,404Virginia: median $2,128 across 23 hospitalsVA$2,128Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,187 across 10 hospitalsKS$2,187Arkansas: median $1,306 across 13 hospitalsAR$1,306Tennessee: median $2,859 across 21 hospitalsTN$2,859North Carolina: median $2,780 across 19 hospitalsNC$2,780South Carolina: median $4,296 across 24 hospitalsSC$4,296Oklahoma: median $759 across 19 hospitalsOK$759Louisiana: median $1,532 across 26 hospitalsLA$1,532Mississippi: median $2,959 across 19 hospitalsMS$2,959Alabama: median $4,287 across 21 hospitalsAL$4,287Georgia: median $2,944 across 31 hospitalsGA$2,944Hawaii: median $3,488 across 11 hospitalsHI$3,488Texas: median $2,283 across 77 hospitalsTX$2,283Florida: median $3,806 across 46 hospitalsFL$3,806
Cash price by state, most expensive first. National median $3,626. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT14$12,516+245%$3,626 – $18,863
Ohio OH74$6,991+93%$3,956 – $11,376
Idaho ID12$5,805+60%$2,369 – $8,663
New Jersey NJ41$4,988+38%$4,215 – $5,855
Massachusetts MA35$4,920+36%$3,044 – $9,966
Pennsylvania PA61$4,546+25%$2,490 – $6,530
New York NY69$4,502+24%$1,298 – $5,220
South Carolina SC24$4,296+18%$4,296 – $6,844
Alabama AL21$4,287+18%$1,962 – $7,614
California CA99$4,060+12%$2,105 – $6,667
Minnesota MN26$3,861+6%$1,051 – $5,071
Florida FL46$3,806+5%$3,153 – $6,185
Hawaii HI11$3,488−4%$2,296 – $6,241
Missouri MO36$2,993−17%$1,529 – $8,966
Mississippi MS19$2,959−18%$1,879 – $3,217
Georgia GA31$2,944−19%$2,944 – $4,548
Tennessee TN21$2,859−21%$503 – $3,458
Colorado CO18$2,803−23%$2,200 – $4,181
North Carolina NC19$2,780−23%$1,440 – $3,649
Kentucky KY14$2,711−25%$606 – $15,277
Washington WA17$2,531−30%$721 – $7,181
Indiana IN32$2,519−31%$1,569 – $8,126
Wisconsin WI42$2,322−36%$2,053 – $6,026
Texas TX77$2,283−37%$1,281 – $3,854
Kansas KS10$2,187−40%$982 – $2,517
Virginia VA23$2,128−41%$1,578 – $4,719
Illinois IL38$1,694−53%$905 – $4,901
Louisiana LA26$1,532−58%$1,120 – $2,448
Michigan MI36$1,515−58%$1,492 – $5,301
West Virginia WV15$1,404−61%$1,018 – $3,370
Arkansas AR13$1,306−64%$919 – $2,956
Oregon OR21$1,001−72%$653 – $7,616
Iowa IA20$922−75%$922 – $2,058
Oklahoma OK19$759−79%$759 – $6,781
New Mexico NM9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Montana MT5not 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
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 $3,626.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,004$3,786$1,515 – $6,773
Children’s26$2,335$1,624 – $7,570
Critical access129$2,322$1,001 – $6,026
Ownership
For-profit132$3,842$1,440 – $8,710
Government159$3,262$1,221 – $6,290
Non-profit868$3,648$1,492 – $6,654
System affiliation
Part of a system986$3,786$1,655 – $6,773
Independent179$2,566$860 – $5,562

Cash price vs list price

Median list price (chargemaster)$6,207
Median cash price$3,626
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

755 hospitals filed a usable inpatient cash price for this code. The median is $3,103 and the average of the middle 60% is $3,289; most fall between $1,207 and $6,026.

Cash price percentiles, inpatient, across 755 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
$759$1,655$3,103$5,080$7,824

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($759 vs $7,824).

Of the 805 hospitals that filed this code inpatient, 755 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 24 a list price only.

How complete is this

1,165 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 1,249 hospitals that filed this code at all gave us
Usable cash price — counted1,165
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded26
Hospitals that filed this code1,249

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 Remove Calculi/Debris Biliary/Pancreas Duct.

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 removal of stones or debris (CPT 43264) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43264-bile-duct-scope-exam-with-removal-of-stones-or-debris