ERCP (bile duct endoscopy) Cost — Compare Hospital Prices

ERCP (bile duct endoscopy) is an endoscopic (scope) procedure. Prices are from 1567 US hospitals across 52 states, from their machine-readable files.

$3,730median cash price · 1567 hospitals, 52 statestypically $1,082–$10,193 depending on the hospital

≈ 12.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$6,450

Cash / self-pay

$3,730

Insurer-negotiated

$3,851

Medicare pays

$311

$1,082$10,193

Median cash $3,730 · Medicare $311 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $3,730 — about 12.0× the Medicare rate ($311). High vs Medicare. A fair cash price is usually within ~2× Medicare ($623).

💡 Asking for the cash price instead of the $6,450 list price could save about $2,720 (42%).

Estimate what you’ll pay

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
University Medical Center of El Paso	El Paso, TX	$564	$1,142	★ 3/5	242 min	15.4%
University Health System, Inc	Knoxville, TN	$568	$1,300	★ 4/5	245 min	14.9%
East Tennessee Childrens Hospital	Knoxville, TN	$568	$1,300	—	—	—
Artesia General Hospital	Artesia, NM	$574	$878	—	101 min	15.0%
United Memorial Medical Center	Batavia, NY	$635	$367	★ 2/5	164 min	14.7%
Prosser Memorial Hospital	Prosser, WA	$638	$400	★ 3/5	126 min	15.2%
Red Bud Regional Hospital	Red Bud, IL	$642	$1,100	★ 4/5	121 min	15.6%
Deaconess Hospital Inc	Evansville, IN	$642	$424	★ 2/5	189 min	15.3%
The Women's Hospital	Newburgh, IN	$642	$515	★ 5/5	128 min	—
Deaconess Henderson Hospital	Henderson, KY	$642	$642	★ 2/5	127 min	15.1%
Ochsner LSU Health Monroe	Monroe, LA	$642	$3,197	★ 3/5	155 min	15.2%
Memorial Healthcare	Owosso, MI	$661	$3,842	★ 3/5	189 min	14.9%
Southwestern Vermont Medical Center	Bennington, VT	$677	—	★ 3/5	196 min	15.8%
Gritman Medical Center	Moscow, ID	$716	$328	★ 3/5	128 min	15.1%
Astria Toppenish Hospital	Toppenish, WA	$721	$3,906	—	148 min	14.8%
Greater Baltimore Medical Center	Baltimore, MD	$721	$378	★ 5/5	231 min	13.5%
Grand River Hospital District	Rifle, CO	$742	$3,261	—	107 min	14.4%
CHI Health Plainview Hospital	Plainview, NE	$755	$863	—	97 min	14.8%
Titus Regional Medical Center	Mount Pleasant, TX	$763	$400	★ 3/5	187 min	15.2%
CHI Health Schuyler	Schuyler, NE	$764	$863	—	103 min	—
Virtua Our Lady of Lourdes Hospital	Camden, NJ	$765	—	★ 2/5	161 min	15.4%
Virtua Willingboro Hospital	Willingboro, NJ	$765	—	★ 3/5	181 min	14.8%
Washington Regional Medical Center	Fayetteville, AR	$766	—	★ 4/5	216 min	13.3%
Bsa Hospital	Amarillo, TX	$771	$5,396	★ 2/5	217 min	14.8%
Faith Regional Health Services	Norfolk, NE	$799	$4,395	★ 3/5	102 min	13.8%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for ERCP (bile duct endoscopy)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,730; Medicare pays $311.

Insurer	Hospitals	Negotiated median
Medicare	322	$166 $143 – $4,590
Medicaid	195	$166 $101 – $1,070
Univera	13	$367 $263 – $436
Independent Health	24	$515 $205 – $1,610
Sanford Health Plan	34	$1,022 $290 – $6,175
Amerigroup	119	$1,175 $317 – $3,665
Bright Health	36	$1,187 $870 – $3,105
Molina Healthcare	421	$1,254 $233 – $5,108
AmeriHealth	130	$1,438 $316 – $8,727
UCare	39	$1,490 $246 – $4,330
Workers' Comp / No-Fault	77	$1,491 $875 – $6,310
MVP Health Care	56	$1,568 $332 – $9,441
Centene / Ambetter	538	$1,622 $186 – $5,950
HealthPartners	113	$1,686 $241 – $5,680
Medica	83	$1,768 $344 – $4,500
Priority Health	36	$2,050 $289 – $9,951
Geisinger	48	$2,050 $436 – $8,706
Tricare / VA	226	$2,285 $166 – $4,934
Highmark	90	$2,471 $157 – $8,403
Harvard Pilgrim	27	$2,542 $414 – $6,647
Humana	685	$2,796 $325 – $4,926
UPMC Health Plan	72	$2,975 $451 – $9,319
Aetna	920	$3,106 $491 – $6,305
Blue Cross Blue Shield	858	$3,426 $212 – $10,283
Cigna	739	$3,594 $1,240 – $9,756
Anthem	385	$3,712 $239 – $10,063
Security Health Plan	33	$3,712 $321 – $7,777
Devoted Health	114	$3,785 $846 – $4,336
Healthcare Highways	36	$3,796 $3,041 – $5,524
Coventry	60	$3,876 $424 – $7,139
Kaiser Permanente	176	$3,908 $181 – $11,226
UnitedHealthcare	998	$3,983 $372 – $9,259
MultiPlan / PHCS network	402	$4,062 $552 – $8,490
Health Net	167	$4,100 $223 – $8,521
SelectHealth	34	$4,205 $801 – $6,223
AvMed	43	$5,374 $508 – $11,304
Oscar Health	154	$5,632 $3,122 – $8,023
EmblemHealth	49	$8,316 $1,402 – $30,416

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

State	Median cash
Iowa	$905
Maryland	$992
Mississippi	$1,325
Michigan	$1,492
North Dakota	$1,673
Arkansas	$1,773

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Robert Harmon, MD/PHD	Gastroenterology	Montrose, CO	250
Teodor Pitea, MD	Gastroenterology	Sun City West, AZ	242
Dushant Uppal, M.D.	Gastroenterology	Charlottesville, VA	224
David Forcione, M.D.	Gastroenterology	Boston, MA	190
Shaheen Rasheed, M.D.	Gastroenterology	Chico, CA	180
Amar Thosani, M.D.	Gastroenterology	Scottsdale, AZ	159
Srinivas Puli, M.D	Gastroenterology	Fort Worth, TX	144
Walid Chalhoub, M.D.	Gastroenterology	Washington, DC	142
Stephen Kucera, M.D.	Gastroenterology	Sarasota, FL	137
Stephen Hasak, MD	Gastroenterology	Saint Louis, MO	131
Prashant Mudireddy, MD	Gastroenterology	Greenville, NC	130
Sreenivasa Jonnalagadda, MD	Gastroenterology	Kansas City, MO	119

Browse doctors by specialty & city →

Does Medicare cover ERCP (bile duct endoscopy)?

Yes — Medicare generally covers ERCP (bile duct endoscopy). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $311. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $62 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1567 US hospitals across 52 states, the typical (median) cash price is $3,730, versus a chargemaster (list) price around $6,450, a median insurer-negotiated rate of $3,851, a Medicare rate of about $311. Most cash prices fall between $1,082 and $10,193 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
Compare several nearby hospitals; prices for the same service can differ severalfold.
Request a written estimate and the billing code (CPT/DRG) before scheduling.
Use the Medicare benchmark above to judge whether a quote is reasonable.
If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does ERCP (bile duct endoscopy) cost without insurance?

The median cash (self-pay) price across 1567 US hospitals is $3,730. Most hospitals fall between $1,082 and $10,193. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover ERCP (bile duct endoscopy)?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $311). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for ERCP (bile duct endoscopy)?

Medicare pays about $311. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do ERCP (bile duct endoscopy) prices vary between hospitals?

Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.

Is the cash price lower than using insurance?

Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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