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

Bile duct endoscopy with balloon stretching, each duct

CPT 43277the billing code this page is about

A scope is passed to the bile and pancreatic duct opening and a balloon widens a narrowed duct or the duct opening, including cutting the valve if done; billed once for each duct or opening treated.

Hospitals typically charge $3,371 cash for this outpatient procedure — the median across 944 hospitals that filed a usable cash price; the average of the middle 60% is $3,393. Most fall between $977 and $6,131 (20th–80th percentile).

Hospitals
944
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 944 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
$638$1,355$3,371$5,355$9,504

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($638 vs $9,504).

How the prices are spread

$456 – $632: 46 hospitals$456$632 – $875: 64 hospitals$875 – $1,211: 60 hospitals$875$1,211 – $1,677: 44 hospitals$1,677 – $2,322: 101 hospitals$1,677$2,322 – $3,214: 101 hospitals$3,214 – $4,450: 129 hospitals$3,214$4,450 – $6,162: 167 hospitals$6,162 – $8,532: 68 hospitals$6,162$8,532 – $11,813: 70 hospitals$8,532median $3,371price bands are equal on a log scale
Hospitals per price band (850 of 944 — the bands cover the 5th to 95th percentile)
FromToHospitals
$456$63246
$632$87564
$875$1,21160
$1,211$1,67744
$1,677$2,322101
$2,322$3,214101
$3,214$4,450129
$4,450$6,162167
$6,162$8,53268
$8,532$11,81370

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,939
Median cash price$3,371
Cash as a multiple of Medicare0.86×

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 $3,371.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,538 across 15 hospitalsWA$4,538Idaho: median $4,943 across 12 hospitalsID$4,943Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,600 across 24 hospitalsMN$2,600Illinois: median $1,297 across 32 hospitalsIL$1,297Wisconsin: median $4,949 across 40 hospitalsWI$4,949Michigan: median $977 across 34 hospitalsMI$977New York: median $3,379 across 45 hospitalsNY$3,379Massachusetts: median $5,153 across 30 hospitalsMA$5,153Oregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 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 $958 across 16 hospitalsIA$958Indiana: median $512 across 23 hospitalsIN$512Ohio: median $6,440 across 58 hospitalsOH$6,440Pennsylvania: median $4,331 across 58 hospitalsPA$4,331New Jersey: median $4,909 across 45 hospitalsNJ$4,909Connecticut: median $1,739 across 10 hospitalsCT$1,739Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,876 across 81 hospitalsCA$3,876Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,776 across 16 hospitalsCO$2,776Nebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,339 across 23 hospitalsMO$2,339Kentucky: median $3,017 across 19 hospitalsKY$3,017West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,371 across 13 hospitalsVA$3,371Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,100 across 19 hospitalsTN$2,100North Carolina: median $2,531 across 17 hospitalsNC$2,531South Carolina: median $4,404 across 22 hospitalsSC$4,404Oklahoma: median $789 across 16 hospitalsOK$789Louisiana: median $1,737 across 21 hospitalsLA$1,737Mississippi: median $2,959 across 15 hospitalsMS$2,959Alabama: median $3,441 across 13 hospitalsAL$3,441Georgia: median $2,054 across 30 hospitalsGA$2,054Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,303 across 64 hospitalsTX$2,303Florida: median $5,257 across 34 hospitalsFL$5,257
Cash price by state, most expensive first. National median $3,371. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH58$6,440+91%$3,883 – $9,006
Florida FL34$5,257+56%$3,806 – $6,962
Massachusetts MA30$5,153+53%$1,825 – $9,966
Wisconsin WI40$4,949+47%$2,108 – $9,808
Idaho ID12$4,943+47%$3,965 – $8,663
New Jersey NJ45$4,909+46%$4,211 – $5,855
Washington WA15$4,538+35%$678 – $6,637
South Carolina SC22$4,404+31%$4,404 – $4,668
Pennsylvania PA58$4,331+28%$2,224 – $6,530
California CA81$3,876+15%$2,138 – $6,651
Alabama AL13$3,441+2%$1,300 – $11,812
New York NY45$3,3790%$757 – $4,576
Virginia VA13$3,3710%$248 – $4,719
Kentucky KY19$3,017−10%$512 – $15,277
Mississippi MS15$2,959−12%$1,996 – $3,190
Colorado CO16$2,776−18%$2,284 – $4,156
Minnesota MN24$2,600−23%$832 – $6,131
North Carolina NC17$2,531−25%$1,750 – $3,406
Missouri MO23$2,339−31%$1,759 – $7,650
Texas TX64$2,303−32%$1,267 – $3,854
Tennessee TN19$2,100−38%$420 – $5,718
Georgia GA30$2,054−39%$1,740 – $5,289
Connecticut CT10$1,739−48%$1,355 – $12,516
Louisiana LA21$1,737−48%$1,226 – $2,448
Illinois IL32$1,297−62%$711 – $4,901
Michigan MI34$977−71%$473 – $5,301
Iowa IA16$958−72%$958 – $1,375
Oklahoma OK16$789−77%$789 – $3,899
Indiana IN23$512−85%$456 – $4,729
Oregon OR9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Vermont VT3not 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
Wyoming WY2not 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 $3,371.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care809$3,518$1,053 – $6,024
Children’s24$2,303$1,020 – $7,955
Critical access105$2,776$671 – $6,131
Ownership
For-profit105$3,899$1,354 – $7,596
Government124$3,108$904 – $6,024
Non-profit709$3,190$972 – $6,131
System affiliation
Part of a system805$3,493$1,063 – $6,131
Independent139$2,853$779 – $5,562

Cash price vs list price

Median list price (chargemaster)$5,676
Median cash price$3,371
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

633 hospitals filed a usable inpatient cash price for this code. The median is $2,862 and the average of the middle 60% is $3,209; most fall between $977 and $6,024.

Cash price percentiles, inpatient, across 633 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
$678$1,433$2,862$5,171$8,669

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($678 vs $8,669).

Of the 673 hospitals that filed this code inpatient, 633 gave a usable cash price; 18 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

944 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 1,010 hospitals that filed this code at all gave us
Usable cash price — counted944
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
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 — excluded21
Hospitals that filed this code1,010

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 Balloon Dilate Biliary/Panc Duct/Ampulla Ea.

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 balloon stretching, each duct (CPT 43277) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-43277-bile-duct-endoscopy-with-balloon-stretching-each-duct