CPT 43263
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ERCP SPHINCTER PRESSURE MEAS
Low
$439
Average
$2.6k
Median
$2.2k
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 5.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 504 | $1.9k | $2.9k | $3.2k | 110% | — | $1 – $55.7k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 470 | $2.1k | $2.9k | $2.6k | 89% | — | $1 – $26.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 365 | $3.8k | $5.2k | $3.3k | 63% | — | $1 – $22.1k |
| 4 | Humana fee schedule · outpatient · +26 other terms | 352 | $1.9k | $1.8k | $973 | 55% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +21 other terms | 315 | $3.8k | $5.5k | $6.1k | 111% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +22 other terms | 203 | $1.4k | $1.7k | $1.2k | 74% | — | $1 – $12.3k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 167 | $2.0k | $2.0k | $700 | 34% | — | $377 – $4.5k |
| 8 | Oscar case rate · outpatient · +15 other terms | 137 | $5.6k | $5.2k | $1.6k | 31% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +23 other terms | 118 | $1.8k | $1.8k | $2.3k | 126% | — | $44 – $14.0k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 100 | $2.4k | $3.2k | $3.8k | 119% | — | $25 – $25.6k |
| 11 | Ambetter fee schedule · outpatient · +12 other terms | 74 | $3.0k | $2.5k | $1.4k | 57% | — | $448 – $6.4k |
| 12 | Aetna Better Health fee schedule · outpatient · +14 other terms | 66 | $1.4k | $1.4k | $277 | 20% | — | $355 – $2.2k |
| 13 | Healthcare Highways case rate · outpatient · +3 other terms | 66 | $3.8k | $4.2k | $997 | 24% | — | $1.6k – $5.5k |
| 14 | Devoted fee schedule · outpatient · +8 other terms | 60 | $1.9k | $1.7k | $541 | 31% | — | $337 – $2.1k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 56 | $2.0k | $2.3k | $1.5k | 64% | — | $1 – $4.5k |
| 16 | Superior Healthplan case rate · outpatient · +2 other terms | 38 | $948 | $1.0k | $331 | 33% | — | $929 – $2.9k |
| 17 | Optum fee schedule · outpatient · +13 other terms | 36 | $1.9k | $2.2k | $1.7k | 77% | — | $337 – $7.1k |
| 18 | First Health fee schedule · outpatient · +18 other terms | 35 | $2.0k | $2.5k | $2.1k | 86% | — | $335 – $7.6k |
| 19 | MultiPlan case rate · outpatient · +17 other terms | 33 | $4.0k | $6.0k | $3.0k | 50% | — | $2.5k – $11.5k |
| 20 | Clover fee schedule · outpatient · +7 other terms | 32 | $2.1k | $2.2k | $605 | 28% | — | $1.7k – $4.6k |
| 21 | Tricare fee schedule · outpatient · +11 other terms | 32 | $1.9k | $2.3k | $1.1k | 48% | — | $1.7k – $5.3k |
| 22 | Amerihealth Caritas case rate · outpatient · +7 other terms | 31 | $496 | $4.9k | $4.2k | 86% | — | $468 – $10.5k |
| 23 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 29 | $1.2k | $1.6k | $378 | 24% | — | $1.2k – $2.0k |
| 24 | Medica case rate · outpatient · +14 other terms | 28 | $3.6k | $3.3k | $1.3k | 41% | — | $1.1k – $6.3k |
| 25 | Medicare fee schedule · outpatient · +12 other terms | 24 | $337 | $802 | $1.0k | 125% | — | $313 – $4.4k |
← Hospitals reporting CPT 43263 · Snapshot 20261113T090226Z-3ce6c0b8