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

Bile duct scope exam with stone fragmentation

CPT 43265the billing code this page is about

During a scope exam of the bile and pancreatic ducts, stones are broken into pieces using mechanical, laser or shock-wave energy and the fragments are removed.

Hospitals typically charge $4,026 cash for this outpatient procedure — the median across 919 hospitals that filed a usable cash price; the average of the middle 60% is $4,241. Most fall between $1,405 and $7,563 (20th–80th percentile).

Hospitals
919
States
49
Filings dated
Mar 2023 – 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 919 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
$858$1,848$4,026$7,020$10,986

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($858 vs $10,986).

How the prices are spread

$675 – $926: 68 hospitals$675$926 – $1,272: 62 hospitals$1,272 – $1,746: 48 hospitals$1,272$1,746 – $2,398: 66 hospitals$2,398 – $3,293: 85 hospitals$2,398$3,293 – $4,522: 141 hospitals$4,522 – $6,209: 106 hospitals$4,522$6,209 – $8,527: 160 hospitals$8,527 – $11,709: 55 hospitals$8,527$11,709 – $16,078: 38 hospitals$11,709median $4,026price bands are equal on a log scale
Hospitals per price band (829 of 919 — the bands cover the 5th to 95th percentile)
FromToHospitals
$675$92668
$926$1,27262
$1,272$1,74648
$1,746$2,39866
$2,398$3,29385
$3,293$4,522141
$4,522$6,209106
$6,209$8,527160
$8,527$11,70955
$11,709$16,07838

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,202
Median cash price$4,026
Cash as a multiple of Medicare0.65×

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 $4,026.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 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 $4,538 across 13 hospitalsWA$4,538Idaho: median $10,986 across 11 hospitalsID$10,986Montana: 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 $1,366 across 17 hospitalsMN$1,366Illinois: median $3,188 across 30 hospitalsIL$3,188Wisconsin: median $4,547 across 40 hospitalsWI$4,547Michigan: median $1,422 across 29 hospitalsMI$1,422New York: median $7,044 across 54 hospitalsNY$7,044Massachusetts: median $4,894 across 23 hospitalsMA$4,894Oregon: median $1,190 across 13 hospitalsOR$1,190Nevada: 4 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 $1,098 across 17 hospitalsIA$1,098Indiana: median $2,099 across 23 hospitalsIN$2,099Ohio: median $6,440 across 54 hospitalsOH$6,440Pennsylvania: median $6,530 across 57 hospitalsPA$6,530New Jersey: median $6,907 across 39 hospitalsNJ$6,907Connecticut: median $18,656 across 10 hospitalsCT$18,656Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,245 across 82 hospitalsCA$6,245Utah: median $3,681 across 23 hospitalsUT$3,681Colorado: median $3,170 across 16 hospitalsCO$3,170Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $4,454 across 23 hospitalsMO$4,454Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,203 across 12 hospitalsVA$1,203Maryland: 2 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: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,996 across 18 hospitalsTN$1,996North Carolina: median $4,276 across 13 hospitalsNC$4,276South Carolina: median $4,405 across 19 hospitalsSC$4,405Oklahoma: median $903 across 18 hospitalsOK$903Louisiana: median $2,369 across 21 hospitalsLA$2,369Mississippi: median $4,686 across 11 hospitalsMS$4,686Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,247 across 28 hospitalsGA$3,247Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,572 across 65 hospitalsTX$3,572Florida: median $5,601 across 34 hospitalsFL$5,601
Cash price by state, most expensive first. National median $4,026. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT10$18,656+363%$3,129 – $18,656
Idaho ID11$10,986+173%$6,500 – $10,986
New York NY54$7,044+75%$1,405 – $9,188
New Jersey NJ39$6,907+72%$5,419 – $7,943
Pennsylvania PA57$6,530+62%$2,490 – $8,758
Ohio OH54$6,440+60%$3,891 – $11,314
California CA82$6,245+55%$2,656 – $8,412
Florida FL34$5,601+39%$1,938 – $7,850
Massachusetts MA23$4,894+22%$2,351 – $16,017
Mississippi MS11$4,686+16%$3,263 – $4,686
Wisconsin WI40$4,547+13%$2,414 – $7,803
Washington WA13$4,538+13%$774 – $8,226
Missouri MO23$4,454+11%$1,642 – $10,084
South Carolina SC19$4,405+9%$926 – $4,405
North Carolina NC13$4,276+6%$2,143 – $5,431
Utah UT23$3,681−9%$3,681 – $4,090
Texas TX65$3,572−11%$1,504 – $5,552
Georgia GA28$3,247−19%$2,504 – $6,375
Illinois IL30$3,188−21%$858 – $6,010
Colorado CO16$3,170−21%$2,607 – $5,238
Louisiana LA21$2,369−41%$1,671 – $3,676
Indiana IN23$2,099−48%$781 – $4,392
Tennessee TN18$1,996−50%$564 – $2,859
Michigan MI29$1,422−65%$1,422 – $4,072
Minnesota MN17$1,366−66%$1,026 – $3,860
Virginia VA12$1,203−70%$283 – $7,384
Oregon OR13$1,190−70%$774 – $1,190
Iowa IA17$1,098−73%$1,098 – $1,294
Oklahoma OK18$903−78%$903 – $6,773
Alabama AL9not enough hospitals filed a usable price
Arkansas AR9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not 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 $4,026.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care794$4,166$1,422 – $7,542
Children’s21$3,863$1,915 – $6,860
Critical access100$2,414$1,026 – $7,803
Ownership
For-profit93$5,297$1,570 – $9,501
Government126$3,961$1,366 – $7,044
Non-profit696$4,026$1,405 – $7,563
System affiliation
Part of a system791$4,213$1,570 – $7,578
Independent128$2,806$900 – $6,915

Cash price vs list price

Median list price (chargemaster)$6,777
Median cash price$4,026
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

623 hospitals filed a usable inpatient cash price for this code. The median is $3,761 and the average of the middle 60% is $3,865; most fall between $1,203 and $7,173.

Cash price percentiles, inpatient, across 623 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
$774$1,750$3,761$6,470$10,488

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($774 vs $10,488).

Of the 661 hospitals that filed this code inpatient, 623 gave a usable cash price; 16 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

919 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 977 hospitals that filed this code at all gave us
Usable cash price — counted919
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded20
Hospitals that filed this code977

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 Destruction/Lithotripsy Calculi Any Method.

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 stone fragmentation (CPT 43265) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43265-bile-duct-scope-exam-with-stone-fragmentation