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Procedure price report · Other non-OR gastrointestinal therapeutic procedures

Bile duct access into small bowel through the skin

CPT 47541the billing code this page is about

A needle-and-catheter route is created through the skin and liver into the bile ducts and onward into the small intestine to help an endoscopic bile duct procedure; includes bile duct x-rays and imaging guidance for new access.

Hospitals typically charge $4,469 cash for this outpatient procedure — the median across 1,016 hospitals that filed a usable cash price; the average of the middle 60% is $4,698. Most fall between $2,161 and $8,376 (20th–80th percentile).

Hospitals
1,016
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 1,016 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
$1,328$2,602$4,469$7,360$11,775

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,328 vs $11,775).

How the prices are spread

$979 – $1,301: 58 hospitals$979$1,301 – $1,728: 43 hospitals$1,728 – $2,297: 81 hospitals$1,728$2,297 – $3,052: 91 hospitals$3,052 – $4,055: 124 hospitals$3,052$4,055 – $5,388: 181 hospitals$5,388 – $7,159: 126 hospitals$5,388$7,159 – $9,512: 101 hospitals$9,512 – $12,639: 79 hospitals$9,512$12,639 – $16,793: 42 hospitals$12,639median $4,469price bands are equal on a log scale
Hospitals per price band (926 of 1,016 — the bands cover the 5th to 95th percentile)
FromToHospitals
$979$1,30158
$1,301$1,72843
$1,728$2,29781
$2,297$3,05291
$3,052$4,055124
$4,055$5,388181
$5,388$7,159126
$7,159$9,512101
$9,512$12,63979
$12,639$16,79342

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,614
Median cash price$4,469
Cash as a multiple of Medicare0.68×

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 $4,469.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,738 across 24 hospitalsWA$4,738Idaho: median $14,664 across 11 hospitalsID$14,664Montana: 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 $2,194 across 14 hospitalsMN$2,194Illinois: median $2,983 across 43 hospitalsIL$2,983Wisconsin: median $4,328 across 53 hospitalsWI$4,328Michigan: median $4,328 across 39 hospitalsMI$4,328New York: median $7,384 across 30 hospitalsNY$7,384Massachusetts: median $5,170 across 12 hospitalsMA$5,170Oregon: median $12,674 across 14 hospitalsOR$12,674Nevada: 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: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,983 across 19 hospitalsIA$2,983Indiana: median $2,126 across 28 hospitalsIN$2,126Ohio: median $6,202 across 63 hospitalsOH$6,202Pennsylvania: median $7,360 across 49 hospitalsPA$7,360New Jersey: median $6,907 across 43 hospitalsNJ$6,907Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,626 across 88 hospitalsCA$6,626Utah: median $979 across 23 hospitalsUT$979Colorado: median $5,082 across 28 hospitalsCO$5,082Nebraska: median $4,844 across 12 hospitalsNE$4,844Missouri: median $3,949 across 17 hospitalsMO$3,949Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $4,688 across 18 hospitalsVA$4,688Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,325 across 25 hospitalsAZ$3,325New Mexico: 2 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 $1,160 across 17 hospitalsTN$1,160North Carolina: median $8,355 across 17 hospitalsNC$8,355South Carolina: median $3,221 across 26 hospitalsSC$3,221Oklahoma: median $1,757 across 19 hospitalsOK$1,757Louisiana: median $3,017 across 21 hospitalsLA$3,017Mississippi: median $2,312 across 15 hospitalsMS$2,312Alabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,931 across 35 hospitalsGA$3,931Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,468 across 78 hospitalsTX$3,468Florida: median $4,274 across 54 hospitalsFL$4,274
Cash price by state, most expensive first. National median $4,469. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$14,664+228%$3,400 – $14,664
Oregon OR14$12,674+184%$597 – $13,033
North Carolina NC17$8,355+87%$1,307 – $8,828
New York NY30$7,384+65%$2,911 – $8,081
Pennsylvania PA49$7,360+65%$2,652 – $11,724
New Jersey NJ43$6,907+55%$4,350 – $11,777
California CA88$6,626+48%$4,493 – $10,237
Ohio OH63$6,202+39%$4,306 – $18,657
Massachusetts MA12$5,170+16%$4,603 – $7,300
Colorado CO28$5,082+14%$3,568 – $9,042
Nebraska NE12$4,844+8%$2,881 – $4,894
Washington WA24$4,738+6%$2,443 – $6,642
Virginia VA18$4,688+5%$4,143 – $4,852
Michigan MI39$4,328−3%$2,699 – $8,902
Wisconsin WI53$4,328−3%$4,232 – $5,360
Florida FL54$4,274−4%$1,761 – $7,048
Missouri MO17$3,949−12%$3,077 – $6,561
Georgia GA35$3,931−12%$1,793 – $6,208
Texas TX78$3,468−22%$3,206 – $7,601
Arizona AZ25$3,325−26%$1,595 – $14,376
South Carolina SC26$3,221−28%$2,161 – $4,469
Louisiana LA21$3,017−32%$1,676 – $4,930
Iowa IA19$2,983−33%$2,853 – $4,722
Illinois IL43$2,983−33%$1,724 – $6,869
Mississippi MS15$2,312−48%$1,249 – $2,800
Minnesota MN14$2,194−51%$729 – $3,846
Indiana IN28$2,126−52%$1,435 – $4,761
Oklahoma OK19$1,757−61%$1,693 – $6,288
Tennessee TN17$1,160−74%$1,048 – $2,512
Utah UT23$979−78%$979 – $1,152
Arkansas AR9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Vermont VT1not 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 $4,469.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care898$4,493$2,177 – $8,300
Children’s22$4,750$2,350 – $11,113
Critical access91$4,232$1,363 – $6,869
Ownership
For-profit104$4,274$1,793 – $11,775
Government106$3,876$1,420 – $7,384
Non-profit801$4,493$2,194 – $8,300
System affiliation
Part of a system912$4,430$2,161 – $8,390
Independent104$4,842$1,724 – $8,171

Cash price vs list price

Median list price (chargemaster)$7,704
Median cash price$4,469
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

796 hospitals filed a usable inpatient cash price for this code. The median is $4,427 and the average of the middle 60% is $4,675; most fall between $2,161 and $8,828.

Cash price percentiles, inpatient, across 796 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
$1,198$2,602$4,427$7,240$12,284

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,198 vs $12,284).

Of the 849 hospitals that filed this code inpatient, 796 gave a usable cash price; 20 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

1,016 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,080 hospitals that filed this code at all gave us
Usable cash price — counted1,016
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 — excluded30
Hospitals that filed this code1,080

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 non-OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Plmt Access Thru Biliary Tree Into Small Bwl New.

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 access into small bowel through the skin (CPT 47541) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-47541-bile-duct-access-into-small-bowel-through-the-skin