Price Checker / CPT 47460

How much does Incise Bile Duct Sphincter cost?

CPT 47460 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $2,000–$2,350.

Fair price

$2,000–$2,350

What this should cost

With insurance

~$2,900

Typical out-of-pocket

Overcharged if over

$2,950

Push back above this

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About Incise Bile Duct Sphincter

CPT code 47460 refers to incise bile duct sphincter (billing description: "Incise bile duct sphincter"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,196 in a facility (hospital or surgery center) and $1,196 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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