Price Checker / CPT 43263
How much does Ercp Sphincter Pressure Meas cost?
CPT 43263 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 13x the fair price — among the most extreme markups. Dispute this.
Fair price
$470–$940
What this should cost
With insurance
~$2,950
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $8,986 is $8,276 over the fair price (about 13x the fair rate).
What hospitals charge for Ercp Sphincter Pressure Meas
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Avita Ontario Hospital Ontario, OH | $10,915 | — | 3119% |
| Bucyrus Community Hospital Bucyrus, OH | $10,915 | — | 3119% |
| Galion Community Hospital GALION, OH | $10,915 | — | 3119% |
| "Doctors' Center Hospital - San Fernando de la Carolina" , DE | $3,200 | $3,200 | 926% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Ercp Sphincter Pressure Meas
CPT code 43263 refers to ercp sphincter pressure meas (billing description: "Ercp sphincter pressure meas"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $312 in a facility (hospital or surgery center) and $312 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.