ERCP (bile duct endoscopy) Cost by Hospital

ERCP (bile duct endoscopy) is an endoscopic (scope) procedure. Prices are from 1577 US hospitals across 52 states, from their machine-readable files.

$3,766median cash price · 1577 hospitals, 52 statestypically $1,095–$10,621 depending on the hospital
≈ 12.1× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$6,582
Cash / self-pay
$3,766
Insurer-negotiated
$3,854
Medicare pays
$311
$1,095$10,621
Median cash $3,766  ·  Medicare $311  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,766 — about 12.1× 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 $6,582 list price could save about $2,816 (43%).

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

HospitalLocationCashInsurerCMS ratingER waitReadmit
University Health System, Inc Knoxville, TN $568 $1,300 ★ 4/5 249 min —
East Tennessee Childrens Hospital Knoxville, TN $568 $1,300 — — —
Artesia General Hospital Artesia, NM $574 $878 — 99 min —
United Memorial Medical Center Batavia, NY $635 $367 ★ 2/5 167 min —
Prosser Memorial Hospital Prosser, WA $638 $400 ★ 3/5 112 min —
Red Bud Regional Hospital Red Bud, IL $642 $1,100 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $642 $424 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $642 $515 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $642 $642 ★ 2/5 127 min —
Ochsner LSU Health Monroe Monroe, LA $642 $3,197 ★ 3/5 152 min —
Memorial Healthcare Owosso, MI $661 $3,842 ★ 3/5 181 min —
Southwestern Vermont Medical Center Bennington, VT $677 — ★ 3/5 202 min —
Gritman Medical Center Moscow, ID $716 $328 ★ 3/5 122 min —
Astria Toppenish Hospital Toppenish, WA $721 $3,906 — 150 min —
Greater Baltimore Medical Center Baltimore, MD $721 $378 ★ 5/5 228 min —
Grand River Hospital District Rifle, CO $742 $3,261 — 110 min —
CHI Health Plainview Hospital Plainview, NE $755 $863 — 92 min —
Titus Regional Medical Center Mount Pleasant, TX $763 $400 ★ 3/5 198 min —
CHI Health Schuyler Schuyler, NE $764 $863 — 104 min —
Virtua Our Lady of Lourdes Hospital Camden, NJ $765 — ★ 2/5 168 min —
Virtua Willingboro Hospital Willingboro, NJ $765 — ★ 3/5 178 min —
Washington Regional Medical Center Fayetteville, AR $766 — ★ 4/5 222 min —
Bsa Hospital Amarillo, TX $771 $5,396 ★ 2/5 215 min —
Faith Regional Health Services Norfolk, NE $799 $4,395 ★ 3/5 101 min —
St Clair Hospital Pittsburgh, PA $804 $8,403 ★ 4/5 200 min —

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 October 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: $3,766; Medicare pays $311.

InsurerHospitalsNegotiated median
Medicare 325
$166
$143 – $4,590
Medicaid 197
$166
$101 – $1,101
Univera 13
$367
$263 – $436
Independent Health 24
$515
$205 – $1,610
Sanford Health Plan 34
$1,022
$290 – $6,175
Amerigroup 120
$1,175
$318 – $3,691
Bright Health 36
$1,187
$870 – $3,105
Molina Healthcare 423
$1,254
$233 – $5,000
UCare 39
$1,490
$246 – $4,330
Workers' Comp / No-Fault 77
$1,491
$875 – $6,310
AmeriHealth 131
$1,519
$316 – $8,727
MVP Health Care 56
$1,568
$332 – $9,441
Centene / Ambetter 552
$1,622
$186 – $5,950
HealthPartners 113
$1,686
$241 – $5,680
Medica 83
$1,768
$344 – $4,500
Priority Health 35
$2,024
$289 – $9,951
Geisinger 48
$2,050
$436 – $8,706
Tricare / VA 229
$2,285
$166 – $4,934
Highmark 96
$2,322
$157 – $8,403
Harvard Pilgrim 27
$2,542
$414 – $6,647
Humana 694
$2,829
$323 – $4,926
UPMC Health Plan 75
$2,975
$414 – $8,915
Aetna 939
$3,072
$455 – $6,278
Blue Cross Blue Shield 860
$3,449
$212 – $10,382
Cigna 760
$3,598
$1,239 – $9,756
Anthem 400
$3,648
$242 – $10,052
Security Health Plan 33
$3,712
$321 – $7,777
Devoted Health 116
$3,785
$907 – $4,322
Healthcare Highways 36
$3,796
$3,041 – $5,524
Coventry 62
$3,838
$431 – $7,112
Kaiser Permanente 176
$3,908
$181 – $11,226
UnitedHealthcare 1015
$3,921
$389 – $9,062
MultiPlan / PHCS network 414
$4,081
$554 – $8,459
Health Net 169
$4,140
$223 – $8,509
SelectHealth 34
$4,205
$801 – $6,223
AvMed 43
$5,374
$508 – $11,304
EmblemHealth 61
$5,628
$1,402 – $30,416
Oscar Health 166
$5,632
$3,122 – $8,023

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

StateMedian cash
Iowa$905
Maryland$992
Mississippi$1,351
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.

ClinicianSpecialtyLocationMedicare services
Robert Harmon, MD/PHDGastroenterologyMontrose, CO250
Teodor Pitea, MDGastroenterologySun City West, AZ242
Dushant Uppal, M.D.GastroenterologyCharlottesville, VA224
David Forcione, M.D.GastroenterologyBoston, MA190
Shaheen Rasheed, M.D.GastroenterologyChico, CA180
Amar Thosani, M.D.GastroenterologyScottsdale, AZ159
Srinivas Puli, M.DGastroenterologyFort Worth, TX144
Walid Chalhoub, M.D.GastroenterologyWashington, DC142
Stephen Kucera, M.D.GastroenterologySarasota, FL137
Stephen Hasak, MDGastroenterologySaint Louis, MO131
Prashant Mudireddy, MDGastroenterologyGreenville, NC130
Sreenivasa Jonnalagadda, MDGastroenterologyKansas City, MO119

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 1577 US hospitals across 52 states, the typical (median) cash price is $3,766, versus a chargemaster (list) price around $6,582, a median insurer-negotiated rate of $3,854, a Medicare rate of about $311. Most cash prices fall between $1,095 and $10,621 — 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 1577 US hospitals is $3,766. Most hospitals fall between $1,095 and $10,621. 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.

Related Endoscopy

See more Endoscopy.