ERCP to remove stent or foreign body from bile or pancreatic duct 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 Remove Foreign Body/Stent Biliary/Panc 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 91% below the median hospital's median price ($2.4k), higher than 1% of the 2,001 hospitals reporting CPT 43275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43275 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 37 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	$2	$2	—	—	—	$2 – $2
2	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
3	Humana humana military percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
4	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
5	Aetna aetna medicare advantage fee schedule · both	$158	$158	—	—	—	$158 – $158
6	Medicare medicare fee schedule · both	$158	$158	—	—	—	$158 – $158
7	WellCare wellcare fee schedule · both	$163	$163	—	—	—	$163 – $163
8	Humana choicecare fee schedule · both	$173	$173	—	—	—	$173 – $173
9	Humana humana medicare advantage fee schedule · both	$173	$173	—	—	—	$173 – $173
10	UnitedHealthcare uhc empire plan fee schedule · outpatient	$226	$226	$165	73%	—	$61 – $392
11	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
12	Cigna mvp hmo/ppo fee schedule · both	$244	$244	—	—	—	$244 – $244
13	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$250	$250	—	—	—	$250 – $250
14	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$897	$897	—	—	1–10	$897 – $897
15	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$975	$975	$51	5%	2–20	$924 – $1.0k
16	Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
17	UnitedHealthcare uhc commercial case rate · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
18	Humana humana military other · outpatient	$4.3k	$4.3k	—	—	—	$4.3k – $4.3k
19	Tricare humana military other · outpatient	$4.3k	$4.3k	—	—	—	$4.3k – $4.3k
20	UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges	$4.6k	$4.6k	—	—	—	$4.6k – $4.6k
21	Excellus excellus bcbs medicare advantage other · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
22	Humana humana medicare advantage other · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
23	Medicare medicare other · outpatient	$4.8k	$4.8k	—	—	1–10	$4.8k – $4.8k
24	Optum vaccn optum other · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k
25	UnitedHealthcare uhc medicare advantage other · outpatient	$4.9k	$4.9k	—	—	1–10	$4.9k – $4.9k

Page 1 of 2 · 37 rates

Last updated: Aug 7, 2026

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