CPT 43264 · 1,133 hospitals reporting

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope

The same procedure costs $189 at one hospital and $51,740 at another — a 274× spread for what's billed under the same code. Median: $2,592.

Cheapest published

$189

4 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,133 hospitals

$2,592

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$51,740

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

355 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
UNITED HOSPITAL CENTER, INC	WV	$5,183	$2,592	—	—	5 insurers
SISTERSVILLE GENERAL HOSPITAL	WV	$5,183	$2,592	—	—	5 insurers
SUMMERSVILLE REGIONAL MEDICAL CENTER	WV	$5,183	$2,592	—	—	5 insurers
SOUTHEAST HEALTH MEDICAL CENTER	AL	$6,473	$2,589	—	—	5 insurers
UCH-MEMORIAL HEALTH SYSTEM	CO	$7,333	$2,567	—	—	5 insurers
LONGS PEAK HOSPITAL	CO	$7,333	$2,567	—	—	5 insurers
UCHEALTH BROOMFIELD HOSPITAL	CO	$7,333	$2,567	—	—	5 insurers
UCHEALTH GRANDVIEW HOSPITAL	CO	$7,333	$2,567	—	—	5 insurers
CONEMAUGH MEMORIAL MEDICAL CENTER	PA	$6,667	$2,667	—	—	2 insurers
MISSION COMMUNITY HOSPITAL	CA	$4,109	$2,671	—	—	5 insurers
WESTERLY HOSPITAL	RI	$6,973	$2,510	—	—	5 insurers
CARILION STONEWALL JACKSON HOSPITAL	VA	$4,182	$2,509	$300	$7,922	1 insurers
UCHEALTH PIKES PEAK REGIONAL HOSPITAL	CO	$3,343	$2,674	—	—	5 insurers
CHRISTUS ST FRANCES CABRINI HOSPITAL	LA	$9,612	$2,499	$483	$8,170	5 insurers
BALDWIN HEALTH	AL	$4,800	$2,496	—	—	3 insurers
PIH HEALTH DOWNEY HOSPITAL	CA	$4,800	$2,496	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SOUTH BAY	CA	$4,800	$2,496	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM	CA	$4,800	$2,496	—	—	3 insurers
LOS ANGELES COMMUNITY HOSPITAL	CA	$4,800	$2,496	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SAN MARCOS	CA	$4,800	$2,496	—	—	3 insurers
HARRISON MEMORIAL HOSPITAL	KY	$3,872	$2,711	—	—	5 insurers
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - SACRAMENTO	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - FREMONT	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL-SAN JOSE	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSP SO SACRAMENTO	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA ROSA	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - FRESNO	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - ANTIOCH	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - VACAVILLE	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
KAISER FOUNDATION HOSPITAL - ROSEVILLE	CA	$7,039	$2,464	$3,650	$10,138	3 insurers
FRYE REGIONAL MEDICAL CENTER	NC	$6,807	$2,723	—	—	4 insurers
UNIVERSITY OF MISSISSIPPI MED CENTER	MS	$6,100	$2,440	—	—	5 insurers
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA	MS	$6,100	$2,440	—	—	5 insurers
RANDOLPH HOSPITAL	NC	$13,902	$2,780	—	—	4 insurers