ERCP with measurement of bile duct pressure at The Finley Hospital

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

PR ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI

Dubuque, IA

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Pricing by billing methodology

Price type

How this price compares nationally

The Finley Hospital’s median price of $1.1k is 51% below the median hospital's median price ($2.3k), higher than 16% of the 1,567 hospitals reporting CPT 43263. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43263 at The Finley Hospital

Negotiated rates from the hospital’s own file: 6 payers, 22 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	Aetna medicare advantage fee schedule · both	$318	$318	—	—	—	$318 – $318
2	Molina medicare advantage fee schedule · both	$325	$325	—	—	—	$325 – $325
3	Wellmark medicare advantage fee schedule · both	$325	$325	—	—	—	$325 – $325
4	Humana medicare advantage fee schedule · both	$334	$334	—	—	—	$334 – $334
5	UnitedHealthcare medicare advantage fee schedule · both	$334	$334	—	—	—	$334 – $334
6	Wellmark commercial fee schedule · both	$676	$676	—	—	—	$676 – $676
7	Wellmark hmo fee schedule · both	$676	$676	—	—	—	$676 – $676
8	Wellmark ppo fee schedule · both	$796	$796	—	—	—	$796 – $796
9	Aetna hmo fee schedule · both	$840	$840	—	—	—	$840 – $840
10	Cigna commercial fee schedule · both	$852	$852	—	—	—	$852 – $852
11	Aetna ppo fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
12	UnitedHealthcare hmo fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
13	UnitedHealthcare ppo fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
14	Aetna medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
15	Molina medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
16	Wellmark medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
17	Humana medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
18	UnitedHealthcare medicare advantage case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	UnitedHealthcare hmo fee schedule · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
20	UnitedHealthcare ppo fee schedule · outpatient	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
21	Aetna hmo fee schedule · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
22	Aetna ppo fee schedule · outpatient	$4.4k	$4.4k	—	—	—	$4.4k – $4.4k

Last updated: Jan 28, 2026

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