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

Bile duct scope exam with stent exchange

CPT 43276the billing code this page is about

During a scope exam of the ducts, an existing stent is removed and a new one put in its place, including dilation and guidewire passage; billed for each stent exchanged.

Hospitals typically charge $4,572 cash for this outpatient procedure — the median across 964 hospitals that filed a usable cash price; the average of the middle 60% is $4,792. Most fall between $1,374 and $8,828 (20th–80th percentile).

Hospitals
964
States
49
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 964 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
$808$1,909$4,572$7,810$12,961

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($808 vs $12,961).

How the prices are spread

$557 – $788: 46 hospitals$557$788 – $1,114: 65 hospitals$1,114 – $1,576: 61 hospitals$1,114$1,576 – $2,228: 53 hospitals$2,228 – $3,150: 104 hospitals$2,228$3,150 – $4,454: 97 hospitals$4,454 – $6,297: 108 hospitals$4,454$6,297 – $8,903: 194 hospitals$8,903 – $12,588: 86 hospitals$8,903$12,588 – $17,799: 65 hospitals$12,588median $4,572price bands are equal on a log scale
Hospitals per price band (879 of 964 — the bands cover the 5th to 95th percentile)
FromToHospitals
$557$78846
$788$1,11465
$1,114$1,57661
$1,576$2,22853
$2,228$3,150104
$3,150$4,45497
$4,454$6,297108
$6,297$8,903194
$8,903$12,58886
$12,588$17,79965

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,202
Median cash price$4,572
Cash as a multiple of Medicare0.74×

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 $4,572.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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 $4,296 across 16 hospitalsWA$4,296Idaho: median $8,110 across 12 hospitalsID$8,110Montana: 4 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 $3,869 across 25 hospitalsMN$3,869Illinois: median $2,235 across 32 hospitalsIL$2,235Wisconsin: median $8,186 across 39 hospitalsWI$8,186Michigan: median $1,226 across 34 hospitalsMI$1,226New York: median $6,300 across 42 hospitalsNY$6,300Massachusetts: median $5,943 across 28 hospitalsMA$5,943Oregon: median $861 across 10 hospitalsOR$861Nevada: 5 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 $1,221 across 17 hospitalsIA$1,221Indiana: median $658 across 28 hospitalsIN$658Ohio: median $8,296 across 72 hospitalsOH$8,296Pennsylvania: median $6,530 across 53 hospitalsPA$6,530New Jersey: median $6,595 across 42 hospitalsNJ$6,595Connecticut: median $20,428 across 13 hospitalsCT$20,428Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,994 across 82 hospitalsCA$6,994Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,513 across 16 hospitalsCO$3,513Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,972 across 27 hospitalsMO$2,972Kentucky: median $3,361 across 12 hospitalsKY$3,361West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,766 across 14 hospitalsVA$1,766Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 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 $5,718 across 20 hospitalsTN$5,718North Carolina: median $3,216 across 18 hospitalsNC$3,216South Carolina: median $5,181 across 21 hospitalsSC$5,181Oklahoma: median $1,005 across 17 hospitalsOK$1,005Louisiana: median $1,800 across 20 hospitalsLA$1,800Mississippi: median $2,168 across 12 hospitalsMS$2,168Alabama: median $8,523 across 17 hospitalsAL$8,523Georgia: median $2,425 across 30 hospitalsGA$2,425Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,572 across 69 hospitalsTX$3,572Florida: median $6,949 across 35 hospitalsFL$6,949
Cash price by state, most expensive first. National median $4,572. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT13$20,428+347%$4,817 – $20,564
Alabama AL17$8,523+86%$1,700 – $11,588
Ohio OH72$8,296+81%$3,918 – $17,799
Wisconsin WI39$8,186+79%$2,682 – $9,809
Idaho ID12$8,110+77%$3,666 – $10,986
California CA82$6,994+53%$2,220 – $7,769
Florida FL35$6,949+52%$5,530 – $9,560
New Jersey NJ42$6,595+44%$4,881 – $7,943
Pennsylvania PA53$6,530+43%$891 – $10,064
New York NY42$6,300+38%$1,356 – $7,578
Massachusetts MA28$5,943+30%$4,183 – $16,017
Tennessee TN20$5,718+25%$535 – $7,110
South Carolina SC21$5,181+13%$5,181 – $5,470
Washington WA16$4,296−6%$950 – $7,810
Minnesota MN25$3,869−15%$1,141 – $7,311
Texas TX69$3,572−22%$1,560 – $6,068
Colorado CO16$3,513−23%$2,903 – $5,238
Kentucky KY12$3,361−26%$636 – $23,903
North Carolina NC18$3,216−30%$2,143 – $5,431
Missouri MO27$2,972−35%$2,235 – $10,268
Georgia GA30$2,425−47%$2,425 – $6,375
Illinois IL32$2,235−51%$893 – $6,233
Mississippi MS12$2,168−53%$2,168 – $3,949
Louisiana LA20$1,800−61%$1,421 – $3,352
Virginia VA14$1,766−61%$315 – $7,384
Michigan MI34$1,226−73%$593 – $8,348
Iowa IA17$1,221−73%$1,221 – $10,611
Oklahoma OK17$1,005−78%$1,005 – $7,713
Oregon OR10$861−81%$861 – $8,822
Indiana IN28$658−86%$496 – $8,626
Arkansas AR9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maine ME1not 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 $4,572.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care839$5,110$1,489 – $8,828
Children’s23$2,734$1,700 – $9,761
Critical access96$2,682$855 – $8,828
Ownership
For-profit108$5,552$2,060 – $10,258
Government135$3,949$1,338 – $7,500
Non-profit715$4,627$1,226 – $8,828
System affiliation
Part of a system818$5,181$1,615 – $9,560
Independent146$2,888$937 – $7,809

Cash price vs list price

Median list price (chargemaster)$7,937
Median cash price$4,572
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

634 hospitals filed a usable inpatient cash price for this code. The median is $3,869 and the average of the middle 60% is $4,355; most fall between $1,226 and $8,186.

Cash price percentiles, inpatient, across 634 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
$861$1,795$3,869$7,311$11,217

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($861 vs $11,217).

Of the 675 hospitals that filed this code inpatient, 634 gave a usable cash price; 17 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

964 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,029 hospitals that filed this code at all gave us
Usable cash price — counted964
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded19
Hospitals that filed this code1,029

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 Biliary/Panc Duct Stent Exchange W/Dil&Wire.

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 stent exchange (CPT 43276) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43276-bile-duct-scope-exam-with-stent-exchange