Price Checker / CPT 43276

How much does Ercp Stent Exchange W/dilate cost?

CPT 43276 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.

Fair price

$630–$1,250

What this should cost

With insurance

~$179,200

Typical out-of-pocket

Overcharged if over

$1,550

Push back above this

The average hospital charge of $13,544 is $12,604 over the fair price (about 14x the fair rate).

What hospitals charge for Ercp Stent Exchange W/dilate

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
United Memorial Medical Center

BATAVIA, NY

$24,664$16,0325784%
Hill Regional Hospital

Hillsboro, TX

$26,2045213%
Doylestown Health

, PA

$27,9934909%
CHARLOTTE HUNGERFORD HOSPITAL

TORRINGTON, CT

$20,4284773%
THE HOSPITAL OF CENTRAL CONNECTICUT

NEW BRITAIN, CT

$20,4284773%
Frick Hospital

, PA

$5,2823404%
Latrobe Area Hospital

, PA

$5,2823404%
Westmoreland Regional Hospital

Greeensburg, PA

$5,2823404%
Mosaic Medical Center in Maryville

, MO

$14,500$12,3253359%
Avita Ontario Hospital

Ontario, OH

$14,8393157%
Bucyrus Community Hospital

Bucyrus, OH

$14,8393157%
Galion Community Hospital

GALION, OH

$14,8393157%
Ochsner Medical Center - Hancock

Bay St. Louis, MS

$8,5873059%
Marshfield Medical Center River Region Hospital

STEVENS POINT, WI

$10,325$9,8092363%
Southwestern Medical Center

Lawton, OK

$9,7482226%

Were you billed for this procedure?

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About Ercp Stent Exchange W/dilate

CPT code 43276 refers to ercp stent exchange w/dilate (billing description: "Ercp stent exchange w/dilate"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $419 in a facility (hospital or surgery center) and $419 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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