ERCP with bile or pancreatic duct stent placement at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ercp Stent Placement Biliary/Pancreatic Duct

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $227 is 96% below the median hospital's median price ($6.0k), higher than 1% of the 1,965 hospitals reporting CPT 43274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43274 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
3	UnitedHealthcare uhc empire plan fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
4	Humana humana military percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
5	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
6	Aetna aetna medicare advantage fee schedule · both	$194	$194	—	—	—	$194 – $194
7	Medicare medicare fee schedule · both	$194	$194	—	—	—	$194 – $194
8	WellCare wellcare fee schedule · both	$200	$200	—	—	—	$200 – $200
9	Humana choicecare fee schedule · both	$213	$213	—	—	—	$213 – $213
10	Humana humana medicare advantage fee schedule · both	$213	$213	—	—	—	$213 – $213
11	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
12	Cigna mvp hmo/ppo fee schedule · both	$300	$300	—	—	—	$300 – $300
13	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$307	$307	—	—	—	$307 – $307
14	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$923	$923	—	—	1–10	$923 – $923
15	UnitedHealthcare uhc commercial fee schedule · outpatient	$6.2k	$6.2k	—	—	—	$6.2k – $6.2k
16	Humana humana military other · outpatient	$6.7k	$6.7k	—	—	—	$6.7k – $6.7k
17	Tricare humana military other · outpatient	$6.7k	$6.7k	—	—	—	$6.7k – $6.7k
18	Excellus excellus bcbs medicare advantage other · outpatient	$7.6k	$7.6k	—	—	1–10	$7.6k – $7.6k
19	Humana humana medicare advantage other · outpatient	$7.6k	$7.6k	—	—	1–10	$7.6k – $7.6k
20	Medicare medicare other · outpatient	$7.6k	$7.6k	—	—	1–10	$7.6k – $7.6k
21	Optum vaccn optum other · outpatient	$7.6k	$7.6k	—	—	—	$7.6k – $7.6k
22	UnitedHealthcare uhc medicare advantage other · outpatient	$7.7k	$7.7k	—	—	1–10	$7.7k – $7.7k
23	Aetna aetna medicare advantage other · outpatient	$7.7k	$7.7k	—	—	1–10	$7.7k – $7.7k
24	WellCare wellcare medicare advantage other · outpatient	$7.8k	$7.8k	—	—	1–10	$7.8k – $7.8k
25	Cigna mvp and cigna commercial other · outpatient	$21.8k	$21.8k	—	—	—	$21.8k – $21.8k

Last updated: Aug 7, 2026

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