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

X-ray guidance during bile duct endoscopy

CPT 74328the billing code this page is about

Contrast injection and X-ray imaging of the bile ducts performed while a scope is passed into the duct opening; this code covers the imaging portion only, not the endoscopy itself.

Hospitals typically charge $668 cash for this outpatient procedure — the median across 1,661 hospitals that filed a usable cash price; the average of the middle 60% is $695. Most fall between $283 and $1,304 (20th–80th percentile).

Hospitals
1,661
States
50
Filings dated
Jan 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 1,661 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
$184$348$668$1,121$2,003

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($184 vs $2,003).

How the prices are spread

$108 – $149: 40 hospitals$108$149 – $206: 80 hospitals$206 – $284: 141 hospitals$206$284 – $392: 146 hospitals$392 – $542: 197 hospitals$392$542 – $748: 223 hospitals$748 – $1,033: 273 hospitals$748$1,033 – $1,426: 189 hospitals$1,426 – $1,968: 114 hospitals$1,426$1,968 – $2,717: 92 hospitals$1,968median $668price bands are equal on a log scale
Hospitals per price band (1,495 of 1,661 — the bands cover the 5th to 95th percentile)
FromToHospitals
$108$14940
$149$20680
$206$284141
$284$392146
$392$542197
$542$748223
$748$1,033273
$1,033$1,426189
$1,426$1,968114
$1,968$2,71792

By state

The median cash price in each state, against the national median of $668.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $653 across 11 hospitalsNH$653Washington: median $746 across 40 hospitalsWA$746Idaho: median $985 across 12 hospitalsID$985Montana: 5 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 $542 across 32 hospitalsMN$542Illinois: median $789 across 63 hospitalsIL$789Wisconsin: median $492 across 74 hospitalsWI$492Michigan: median $358 across 41 hospitalsMI$358New York: median $457 across 54 hospitalsNY$457Massachusetts: median $438 across 38 hospitalsMA$438Oregon: median $840 across 15 hospitalsOR$840Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 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 $668 across 19 hospitalsIA$668Indiana: median $283 across 45 hospitalsIN$283Ohio: median $575 across 95 hospitalsOH$575Pennsylvania: median $740 across 72 hospitalsPA$740New Jersey: median $269 across 28 hospitalsNJ$269Connecticut: median $322 across 10 hospitalsCT$322Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $949 across 139 hospitalsCA$949Utah: median $814 across 29 hospitalsUT$814Colorado: median $958 across 34 hospitalsCO$958Nebraska: median $310 across 12 hospitalsNE$310Missouri: median $532 across 36 hospitalsMO$532Kentucky: median $778 across 32 hospitalsKY$778West Virginia: median $478 across 15 hospitalsWV$478Virginia: median $853 across 42 hospitalsVA$853Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $812 across 39 hospitalsAZ$812New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $921 across 18 hospitalsKS$921Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $184 across 37 hospitalsTN$184North Carolina: median $373 across 48 hospitalsNC$373South Carolina: median $674 across 40 hospitalsSC$674Oklahoma: median $422 across 23 hospitalsOK$422Louisiana: median $241 across 31 hospitalsLA$241Mississippi: median $477 across 31 hospitalsMS$477Alabama: median $518 across 25 hospitalsAL$518Georgia: median $683 across 61 hospitalsGA$683Hawaii: median $607 across 10 hospitalsHI$607Texas: median $723 across 139 hospitalsTX$723Florida: median $1,172 across 105 hospitalsFL$1,172
Cash price by state, most expensive first. National median $668. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL105$1,172+76%$792 – $3,550
Idaho ID12$985+48%$343 – $1,159
Colorado CO34$958+43%$409 – $2,660
California CA139$949+42%$583 – $2,377
Kansas KS18$921+38%$346 – $1,689
Virginia VA42$853+28%$410 – $967
Oregon OR15$840+26%$42 – $1,050
Utah UT29$814+22%$693 – $814
Arizona AZ39$812+22%$262 – $1,528
Illinois IL63$789+18%$375 – $1,229
Kentucky KY32$778+17%$291 – $2,279
Washington WA40$746+12%$409 – $1,152
Pennsylvania PA72$740+11%$382 – $1,290
Texas TX139$723+8%$576 – $1,478
Georgia GA61$683+2%$389 – $1,368
South Carolina SC40$674+1%$502 – $846
Iowa IA19$6680%$64 – $970
New Hampshire NH11$653−2%$519 – $1,838
Hawaii HI10$607−9%$438 – $668
Ohio OH95$575−14%$283 – $864
Minnesota MN32$542−19%$279 – $896
Missouri MO36$532−20%$394 – $1,867
Alabama AL25$518−22%$306 – $1,304
Wisconsin WI74$492−26%$277 – $925
West Virginia WV15$478−28%$240 – $715
Mississippi MS31$477−29%$315 – $767
New York NY54$457−31%$185 – $1,105
Massachusetts MA38$438−34%$233 – $1,136
Oklahoma OK23$422−37%$278 – $909
North Carolina NC48$373−44%$203 – $1,040
Michigan MI41$358−46%$129 – $1,306
Connecticut CT10$322−52%$218 – $869
Nebraska NE12$310−54%$310 – $478
Indiana IN45$283−58%$214 – $595
New Jersey NJ28$269−60%$164 – $1,528
Louisiana LA31$241−64%$147 – $666
Tennessee TN37$184−72%$86 – $293
Arkansas AR9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Delaware DE2not 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 $668.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,472$674$283 – $1,342
Children’s24$724$409 – $1,478
Critical access157$584$226 – $1,005
Ownership
For-profit244$958$336 – $2,591
Government174$512$244 – $1,152
Non-profit1,235$664$283 – $1,173
System affiliation
Part of a system1,505$683$285 – $1,319
Independent156$497$193 – $1,050

Cash price vs list price

Median list price (chargemaster)$1,152
Median cash price$668
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

1,318 hospitals filed a usable inpatient cash price for this code. The median is $674 and the average of the middle 60% is $693; most fall between $283 and $1,229.

Cash price percentiles, inpatient, across 1,318 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
$184$348$674$1,071$1,770

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($184 vs $1,770).

Of the 1,457 hospitals that filed this code inpatient, 1,318 gave a usable cash price; 77 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 61 a list price only.

How complete is this

1,661 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 1,900 hospitals that filed this code at all gave us
Usable cash price — counted1,661
Cash price carrying a plausibility flag — shown on the compare tool, excluded here131
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 — excluded107
Hospitals that filed this code1,900

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Endoscopic Cathj Biliary Ductal System Rs&I|PROFESSIONAL COMPONENT.

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, “X-ray guidance during bile duct endoscopy (CPT 74328) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-74328-x-ray-guidance-during-bile-duct-endoscopy