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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 8 hospitals, negotiated prices for this code range from $777 to $10,063. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$12.5k
AdventHealth Castle Rock
AdventHealth Littleton
AdventHealth Parker
Craig Hospital
HCA HealthONE Centennial
HCA HealthONE Sky Ridge
HCA HealthONE South Parker ER
HCA HealthONE Swedish

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AdventHealth Castle Rock CASTLE ROCK, CO, 8010920 plans ▾: $1,291.20 to $5,116.96See details ›
AdventHealth Littleton LITTLETON, CO, 8012219 plans ▾: $1,286.40 to $4,401.74See details ›
AdventHealth Parker PARKER, CO, 8013820 plans ▾: $1,291.20 to $5,116.96See details ›
HCA HealthONE Centennial CENTENNIAL, CO, 8011214 plans ▾: $1,597.60 to $9,059.80See details ›
HCA HealthONE Sky Ridge LONE TREE, CO, 8012414 plans ▾: $1,597.60 to $9,059.80See details ›
HCA HealthONE South Parker ER PARKER, CO, 8013414 plans ▾: $1,597.60 to $9,059.80See details ›
HCA HealthONE Swedish ENGLEWOOD, CO, 8011314 plans ▾: $1,597.60 to $9,059.80See details ›
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