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ERCP with Sphincterotomy

HCPCS 43262

Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

AI EXPLANATION: An ERCP (endoscopic retrograde cholangiopancreatography) is a specialized procedure used to evaluate and treat conditions affecting the bile ducts and pancreatic ducts. A doctor guides a flexible tube equipped with a camera through the mouth and stomach into the upper small intestine, using dye and X-rays to inspect the duct pathways. During a sphincterotomy, a precise cut is made in the small muscular ring at the duct opening to improve drainage, relieve narrowing, or allow bile and gallstones to pass.

Across 9 hospitals, negotiated prices for this code range from $397 to $13,220. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$15k
Jacobi Medical Center
Lincoln Hospital
Montefiore Hospital Moses Campus
Montefiore Hutchinson Campus
Montefiore Jack D. Weiler Hospital
Montefiore Wakefield Campus
Montefiore Westchester Square Campus
North Central Bronx Hospital
The Children's Hospital at Montefiore

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Jacobi Medical Center BRONX, NY, 1046199 plans ▾ $4,502.13: $1,583.26 to $5,438.38See details ›
Lincoln Hospital BRONX, NY, 1045199 plans ▾ $4,502.13: $1,560.15 to $5,162.78See details ›
Montefiore Hospital Moses Campus BRONX, NY, 1046724 plans ▾: $4,377.70 to $12,920.00See details ›
Montefiore Hutchinson Campus BRONX, NY, 1046124 plans ▾: $4,377.70 to $12,920.00See details ›
Montefiore Jack D. Weiler Hospital BRONX, NY, 1046124 plans ▾: $4,377.70 to $12,920.00See details ›
Montefiore Wakefield Campus BRONX, NY, 1046624 plans ▾: $4,377.70 to $12,920.00See details ›
Montefiore Westchester Square Campus BRONX, NY, 1046124 plans ▾: $4,377.70 to $12,920.00See details ›
North Central Bronx Hospital BRONX, NY, 1046798 plans ▾ $4,502.13: $1,555.11 to $5,438.38See details ›
The Children's Hospital at Montefiore BRONX, NY, 1046724 plans ▾: $4,377.70 to $12,920.00See details ›
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