Price Checker / CPT 43264
How much does Ercp Remove Duct Calculi cost?
CPT 43264 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 10x the fair price. This is well above fair — push back or dispute it.
Fair price
$480–$950
What this should cost
With insurance
~$3,000
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $7,463 is $6,743 over the fair price (about 10x the fair rate).
What hospitals charge for Ercp Remove Duct Calculi
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Southampton Hospital , NY | $4,090 | — | 23863% |
| Avita Ontario Hospital Ontario, OH | $11,134 | — | 3128% |
| Bucyrus Community Hospital Bucyrus, OH | $11,134 | — | 3128% |
| Galion Community Hospital GALION, OH | $11,134 | — | 3128% |
| UPMC Wellsboro WELLSBORO, PA | $9,871 | $7,897 | 3011% |
| Frick Hospital , PA | $4,293 | — | 2858% |
| Latrobe Area Hospital , PA | $4,293 | — | 2858% |
| Westmoreland Regional Hospital Greeensburg, PA | $4,293 | — | 2858% |
| UPMC Green , PA | — | — | 2255% |
| Hillcrest Hospital Pryor Pryor, OK | $14,879 | — | 2085% |
| Southwestern Medical Center Lawton, OK | $6,665 | — | 2000% |
| Madison Medical Center Fredericktown, MO | $4,556 | — | 1512% |
| "Doctors' Center Hospital - San Fernando de la Carolina" , DE | $3,200 | $3,200 | 908% |
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 Remove Duct Calculi
CPT code 43264 refers to ercp remove duct calculi (billing description: "Ercp remove duct calculi"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $317 in a facility (hospital or surgery center) and $317 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.