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Procedure price report · Other OR gastrointestinal therapeutic procedures

Internal-external bile duct drain placed through the skin

CPT 47534the billing code this page is about

A drainage catheter is placed through the skin into the bile ducts and advanced into the intestine so bile can drain both internally and out to a bag; includes imaging guidance.

Hospitals typically charge $4,716 cash for this outpatient procedure — the median across 1,675 hospitals that filed a usable cash price; the average of the middle 60% is $4,846. Most fall between $2,568 and $8,039 (20th–80th percentile).

Hospitals
1,675
States
50
Filings dated
Feb 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 1,675 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
$1,864$2,987$4,716$7,248$10,552

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($1,864 vs $10,552).

How the prices are spread

$1,160 – $1,480: 33 hospitals$1,160$1,480 – $1,887: 56 hospitals$1,887 – $2,406: 112 hospitals$1,887$2,406 – $3,068: 150 hospitals$3,068 – $3,912: 220 hospitals$3,068$3,912 – $4,989: 282 hospitals$4,989 – $6,361: 230 hospitals$4,989$6,361 – $8,112: 181 hospitals$8,112 – $10,344: 149 hospitals$8,112$10,344 – $13,190: 97 hospitals$10,344median $4,716price bands are equal on a log scale
Hospitals per price band (1,510 of 1,675 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,160$1,48033
$1,480$1,88756
$1,887$2,406112
$2,406$3,068150
$3,068$3,912220
$3,912$4,989282
$4,989$6,361230
$6,361$8,112181
$8,112$10,344149
$10,344$13,19097

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,658
Median cash price$4,716
Cash as a multiple of Medicare1.29×

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 $4,716.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,713 across 42 hospitalsWA$4,713Idaho: median $5,779 across 13 hospitalsID$5,779Montana: median $2,155 across 10 hospitalsMT$2,155North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,785 across 40 hospitalsMN$3,785Illinois: median $3,707 across 71 hospitalsIL$3,707Wisconsin: median $5,552 across 57 hospitalsWI$5,552Michigan: median $3,637 across 61 hospitalsMI$3,637New York: median $4,469 across 61 hospitalsNY$4,469Massachusetts: median $5,811 across 34 hospitalsMA$5,811Oregon: median $7,830 across 29 hospitalsOR$7,830Nevada: median $3,640 across 12 hospitalsNV$3,640Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $4,907 across 18 hospitalsIA$4,907Indiana: median $5,856 across 46 hospitalsIN$5,856Ohio: median $6,093 across 97 hospitalsOH$6,093Pennsylvania: median $5,810 across 84 hospitalsPA$5,810New Jersey: median $4,627 across 53 hospitalsNJ$4,627Connecticut: median $5,093 across 14 hospitalsCT$5,093Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,245 across 143 hospitalsCA$6,245Utah: median $4,130 across 23 hospitalsUT$4,130Colorado: median $3,929 across 34 hospitalsCO$3,929Nebraska: median $2,483 across 16 hospitalsNE$2,483Missouri: median $4,652 across 39 hospitalsMO$4,652Kentucky: median $4,025 across 12 hospitalsKY$4,025West Virginia: median $592 across 14 hospitalsWV$592Virginia: median $3,702 across 37 hospitalsVA$3,702Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,880 across 30 hospitalsAZ$2,880New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $5,048 across 13 hospitalsKS$5,048Arkansas: median $2,399 across 14 hospitalsAR$2,399Tennessee: median $1,824 across 38 hospitalsTN$1,824North Carolina: median $4,155 across 42 hospitalsNC$4,155South Carolina: median $3,526 across 35 hospitalsSC$3,526Oklahoma: median $2,796 across 24 hospitalsOK$2,796Louisiana: median $3,882 across 28 hospitalsLA$3,882Mississippi: median $2,521 across 26 hospitalsMS$2,521Alabama: median $5,050 across 21 hospitalsAL$5,050Georgia: median $4,720 across 58 hospitalsGA$4,720Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,955 across 130 hospitalsTX$4,955Florida: median $5,784 across 92 hospitalsFL$5,784
Cash price by state, most expensive first. National median $4,716. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Oregon OR29$7,830+66%$1,072 – $9,296
California CA143$6,245+32%$3,538 – $11,390
Ohio OH97$6,093+29%$2,960 – $10,552
Indiana IN46$5,856+24%$3,286 – $7,729
Massachusetts MA34$5,811+23%$2,470 – $10,235
Pennsylvania PA84$5,810+23%$3,522 – $10,183
Florida FL92$5,784+23%$2,448 – $9,466
Idaho ID13$5,779+23%$2,500 – $8,630
Wisconsin WI57$5,552+18%$4,551 – $7,248
Connecticut CT14$5,093+8%$4,195 – $7,736
Alabama AL21$5,050+7%$3,565 – $5,601
Kansas KS13$5,048+7%$3,817 – $8,932
Texas TX130$4,955+5%$3,530 – $7,920
Iowa IA18$4,907+4%$2,964 – $7,363
Georgia GA58$4,7200%$3,177 – $8,203
Washington WA42$4,7130%$2,152 – $6,154
Missouri MO39$4,652−1%$2,536 – $10,706
New Jersey NJ53$4,627−2%$3,906 – $6,839
New York NY61$4,469−5%$3,207 – $8,155
North Carolina NC42$4,155−12%$2,146 – $4,943
Utah UT23$4,130−12%$4,130 – $4,859
Kentucky KY12$4,025−15%$2,698 – $14,171
Colorado CO34$3,929−17%$2,841 – $7,335
Louisiana LA28$3,882−18%$2,684 – $6,363
Minnesota MN40$3,785−20%$2,929 – $5,846
Illinois IL71$3,707−21%$2,181 – $7,802
Virginia VA37$3,702−22%$2,835 – $6,306
Nevada NV12$3,640−23%$1,830 – $4,913
Michigan MI61$3,637−23%$1,995 – $7,255
South Carolina SC35$3,526−25%$3,331 – $5,168
Arizona AZ30$2,880−39%$1,748 – $25,717
Oklahoma OK24$2,796−41%$1,990 – $4,846
Mississippi MS26$2,521−47%$2,219 – $3,244
Nebraska NE16$2,483−47%$2,347 – $4,925
Arkansas AR14$2,399−49%$1,547 – $3,364
Montana MT10$2,155−54%$2,155 – $4,616
Tennessee TN38$1,824−61%$1,461 – $2,585
West Virginia WV14$592−87%$370 – $3,427
Hawaii HI9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Vermont VT2not 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 $4,716.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,488$4,716$2,646 – $7,920
Children’s38$5,301$2,811 – $12,619
Critical access140$4,155$2,002 – $7,920
Ownership
For-profit158$4,990$2,618 – $10,236
Government204$4,176$2,137 – $6,801
Non-profit1,304$4,716$2,674 – $8,039
System affiliation
Part of a system1,470$4,739$2,721 – $8,203
Independent205$4,255$2,073 – $7,125

Cash price vs list price

Median list price (chargemaster)$8,700
Median cash price$4,716
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

1,320 hospitals filed a usable inpatient cash price for this code. The median is $4,799 and the average of the middle 60% is $5,066; most fall between $2,796 and $8,271.

Cash price percentiles, inpatient, across 1,320 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
$1,887$3,177$4,799$7,600$10,706

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($1,887 vs $10,706).

Of the 1,416 hospitals that filed this code inpatient, 1,320 gave a usable cash price; 37 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 58 a list price only.

How complete is this

1,675 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,801 hospitals that filed this code at all gave us
Usable cash price — counted1,675
Cash price carrying a plausibility flag — shown on the compare tool, excluded here63
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded62
Hospitals that filed this code1,801

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 Other OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext.

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, “Internal-external bile duct drain placed through the skin (CPT 47534) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-47534-internal-external-bile-duct-drain-placed-through-the-skin