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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 7 hospitals, negotiated prices for this code range from $419 to $17,501. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$15k$20k
Akron Children's Hospital
Cleveland Clinic Akron General
Cleveland Clinic Medina Hospital
Summa Health System - Barberton Campus
Summa Health Systems - Akron Campus
UH Portage Medical Center
Western Reserve Hospital

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Cleveland Clinic Akron General AKRON, OH, 4430718 plans ▾: $3,515.31 to $9,438.97See details ›
Cleveland Clinic Medina Hospital MEDINA, OH, 4425665 plans ▾ $11,375.65: $3,526.95 to $14,263.31See details ›
Summa Health System - Barberton Campus BARBERTON, OH, 4420323 plans ▾: $2,018.20 to $11,798.57See details ›
Summa Health Systems - Akron Campus AKRON, OH, 4430423 plans ▾: $2,018.20 to $11,798.57See details ›
UH Portage Medical Center RAVENNA, OH, 4426656 plans ▾ $3,536.25: $2,244.34 to $4,785.40See details ›
Western Reserve Hospital CUYAHOGA FALLS, OH, 4422327 plans ▾ $7,179.15: $3,641.79 to $8,920.28See details ›
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