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

Bile or pancreatic duct scope exam with stent placement

CPT 43274the billing code this page is about

During a scope exam of the ducts, a stent is placed to keep a blocked bile or pancreatic duct open, including dilation and guidewire passage; billed for each stent placed.

Hospitals typically charge $4,748 cash for this outpatient procedure — the median across 1,089 hospitals that filed a usable cash price; the average of the middle 60% is $4,938. Most fall between $1,510 and $9,188 (20th–80th percentile).

Hospitals
1,089
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 1,089 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
$857$2,149$4,748$7,874$12,830

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($857 vs $12,830).

How the prices are spread

$592 – $832: 51 hospitals$592$832 – $1,169: 58 hospitals$1,169 – $1,643: 64 hospitals$1,169$1,643 – $2,309: 58 hospitals$2,309 – $3,246: 137 hospitals$2,309$3,246 – $4,562: 110 hospitals$4,562 – $6,411: 151 hospitals$4,562$6,411 – $9,011: 181 hospitals$9,011 – $12,664: 114 hospitals$9,011$12,664 – $17,799: 61 hospitals$12,664median $4,748price bands are equal on a log scale
Hospitals per price band (985 of 1,089 — the bands cover the 5th to 95th percentile)
FromToHospitals
$592$83251
$832$1,16958
$1,169$1,64364
$1,643$2,30958
$2,309$3,246137
$3,246$4,562110
$4,562$6,411151
$6,411$9,011181
$9,011$12,664114
$12,664$17,79961

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,202
Median cash price$4,748
Cash as a multiple of Medicare0.77×

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 $4,748.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 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 17 hospitalsWA$4,538Idaho: median $6,852 across 12 hospitalsID$6,852Montana: 3 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 $3,904 across 25 hospitalsMN$3,904Illinois: median $2,426 across 33 hospitalsIL$2,426Wisconsin: median $4,307 across 44 hospitalsWI$4,307Michigan: median $1,178 across 36 hospitalsMI$1,178New York: median $7,044 across 65 hospitalsNY$7,044Massachusetts: median $5,943 across 35 hospitalsMA$5,943Oregon: median $4,751 across 14 hospitalsOR$4,751Nevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,173 across 18 hospitalsIA$1,173Indiana: median $811 across 30 hospitalsIN$811Ohio: median $7,745 across 76 hospitalsOH$7,745Pennsylvania: median $6,902 across 52 hospitalsPA$6,902New Jersey: median $6,595 across 45 hospitalsNJ$6,595Connecticut: median $11,667 across 13 hospitalsCT$11,667Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,911 across 85 hospitalsCA$6,911Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,932 across 17 hospitalsCO$3,932Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $4,134 across 29 hospitalsMO$4,134Kentucky: median $3,491 across 13 hospitalsKY$3,491West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,188 across 20 hospitalsVA$2,188Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 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: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $2,762 across 14 hospitalsAR$2,762Tennessee: median $4,405 across 21 hospitalsTN$4,405North Carolina: median $3,126 across 21 hospitalsNC$3,126South Carolina: median $5,054 across 24 hospitalsSC$5,054Oklahoma: median $965 across 17 hospitalsOK$965Louisiana: median $2,439 across 23 hospitalsLA$2,439Mississippi: median $4,426 across 19 hospitalsMS$4,426Alabama: median $5,991 across 21 hospitalsAL$5,991Georgia: median $2,438 across 32 hospitalsGA$2,438Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,572 across 75 hospitalsTX$3,572Florida: median $6,945 across 46 hospitalsFL$6,945
Cash price by state, most expensive first. National median $4,748. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$11,667+146%$5,306 – $20,428
Ohio OH76$7,745+63%$3,910 – $17,799
New York NY65$7,044+48%$1,215 – $9,188
Florida FL46$6,945+46%$5,261 – $9,560
California CA85$6,911+46%$2,041 – $9,001
Pennsylvania PA52$6,902+45%$3,596 – $9,534
Idaho ID12$6,852+44%$3,666 – $10,986
New Jersey NJ45$6,595+39%$4,627 – $7,943
Alabama AL21$5,991+26%$1,465 – $9,161
Massachusetts MA35$5,943+25%$4,161 – $16,017
South Carolina SC24$5,054+6%$5,054 – $10,603
Oregon OR14$4,7510%$827 – $11,341
Washington WA17$4,538−4%$827 – $10,191
Mississippi MS19$4,426−7%$2,912 – $4,678
Tennessee TN21$4,405−7%$554 – $5,718
Wisconsin WI44$4,307−9%$2,574 – $9,809
Missouri MO29$4,134−13%$1,940 – $13,766
Colorado CO17$3,932−17%$3,370 – $5,270
Minnesota MN25$3,904−18%$1,096 – $7,109
Texas TX75$3,572−25%$1,663 – $6,068
Kentucky KY13$3,491−26%$606 – $23,903
North Carolina NC21$3,126−34%$2,143 – $5,345
Arkansas AR14$2,762−42%$863 – $3,360
Louisiana LA23$2,439−49%$1,836 – $3,448
Georgia GA32$2,438−49%$2,438 – $6,375
Illinois IL33$2,426−49%$857 – $5,644
Virginia VA20$2,188−54%$1,110 – $6,656
Michigan MI36$1,178−75%$569 – $6,516
Iowa IA18$1,173−75%$1,173 – $10,943
Oklahoma OK17$965−80%$965 – $7,713
Indiana IN30$811−83%$570 – $8,249
Hawaii HI9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
South Dakota SD1not 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 $4,748.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care945$5,077$1,677 – $9,188
Children’s24$3,004$1,837 – $9,721
Critical access114$2,805$859 – $8,110
Ownership
For-profit127$5,707$2,143 – $10,986
Government147$4,194$1,391 – $7,874
Non-profit809$4,748$1,504 – $9,188
System affiliation
Part of a system924$5,054$1,921 – $9,188
Independent165$3,250$936 – $7,855

Cash price vs list price

Median list price (chargemaster)$7,914
Median cash price$4,748
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

709 hospitals filed a usable inpatient cash price for this code. The median is $3,910 and the average of the middle 60% is $4,358; most fall between $1,319 and $8,110.

Cash price percentiles, inpatient, across 709 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
$827$1,984$3,910$7,129$11,333

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($827 vs $11,333).

Of the 764 hospitals that filed this code inpatient, 709 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

1,089 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 1,174 hospitals that filed this code at all gave us
Usable cash price — counted1,089
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
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 — excluded25
Hospitals that filed this code1,174

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 Stent Placement Biliary/Pancreatic 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 or pancreatic duct scope exam with stent placement (CPT 43274) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43274-bile-or-pancreatic-duct-scope-exam-with-stent-placement