43265 (HCPCS) by state — Price Transparency

HCPCS · across United States

43265 — Ercp Lithotripsy Calculi

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$5,917 National median

$2,852 – $8,036 IQR (p25 – p75)

2,121 hospitals filing

53 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $4,703.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 43265 (HCPCS), with interquartile range
State	Median	p25	p75
SD	$20,188	$6,131	$25,959
ID	$8,512	$6,244	$9,895
WI	$8,025	$7,558	$8,151
CA	$7,558	$4,730	$8,363
OR	$7,558	$6,807	$13,496
WA	$7,442	$5,012	$13,666
FL	$6,981	$3,950	$11,473
NJ	$6,907	$5,874	$8,438
DE	$6,906	$6,560	$10,155
DC	$6,679	$5,060	$7,967
NC	$6,513	$4,383	$8,849
IL	$6,330	$3,694	$8,784
GA	$6,291	$4,794	$9,822
VA	$6,091	$3,832	$8,352
NM	$6,054	$4,858	$7,391
ME	$5,990	$5,814	$21,377
MO	$5,965	$2,680	$7,313
OK	$5,956	$4,104	$8,462
ND	$5,953	$3,919	$6,829
MN	$5,842	$3,267	$6,257
PA	$5,825	$2,605	$7,608
KY	$5,814	$5,005	$6,810
NE	$5,801	$3,700	$6,782
OH	$5,794	$3,663	$8,773
SC	$5,787	$4,066	$6,111
RI	$5,781	$2,434	$6,826
HI	$5,681	$3,023	$7,557
VT	$5,676	$405	$6,152
IA	$5,629	$3,511	$6,110
MS	$5,584	$4,627	$8,122
AK	$5,543	$1,544	$7,912
AL	$5,464	$4,223	$6,339
AR	$5,444	$4,249	$6,079
LA	$5,411	$1,232	$10,394
CO	$5,367	$2,867	$6,169
MD	$5,345	$4,118	$5,770
KS	$5,273	$1,883	$8,007
NH	$4,642	$1,727	$6,667
TX	$4,638	$1,999	$6,403
NV	$4,599	$2,089	$6,579
TN	$4,223	$1,792	$5,707
UT	$4,172	$1,472	$4,663
NY	$3,945	$1,737	$7,256
AZ	$3,713	$2,268	$6,408
CT	$3,021	$2,283	$6,643
MA	$2,965	$864	$7,282
IN	$2,521	$688	$8,175
AS	$2,221	$537	$3,905
MT	$1,935	$684	$6,072
WY	$1,452	$1,161	$3,222
WV	$1,224	$378	$5,953
PR	$1,200	$750	$1,785
MI	$972	$373	$4,547

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

SD	$20,188	$6,131	$25,959	$372	$25,959	5	40	229
ID	$8,512	$6,244	$9,895	$166	$23,786	18	98	809
WI	$8,025	$7,558	$8,151	$23	$44,425	80	420	4,328
CA	$7,558	$4,730	$8,363	$1	$55,568	186	838	7,237
OR	$7,558	$6,807	$13,496	$2,504	$52,373	20	41	419
WA	$7,442	$5,012	$13,666	$201	$40,723	48	156	1,680
FL	$6,981	$3,950	$11,473	$1	$986,568	126	728	6,486
NJ	$6,907	$5,874	$8,438	$14	$31,878	49	322	4,893
DE	$6,906	$6,560	$10,155	$409	$31,668	5	9	33
DC	$6,679	$5,060	$7,967	$2,013	$19,258	3	14	39
NC	$6,513	$4,383	$8,849	$360	$16,684	50	134	1,706
IL	$6,330	$3,694	$8,784	$179	$96,226	75	259	2,129
GA	$6,291	$4,794	$9,822	$178	$50,000	71	122	2,039
VA	$6,091	$3,832	$8,352	$380	$37,936	40	60	975
NM	$6,054	$4,858	$7,391	$253	$41,514	15	107	307
ME	$5,990	$5,814	$21,377	$458	$35,604	20	14	173
MO	$5,965	$2,680	$7,313	$250	$32,869	40	225	1,746
OK	$5,956	$4,104	$8,462	$343	$16,298	41	63	520
ND	$5,953	$3,919	$6,829	$248	$22,257	9	44	202
MN	$5,842	$3,267	$6,257	$246	$50,000	56	76	980
PA	$5,825	$2,605	$7,608	$1	$65,626	75	258	3,700
KY	$5,814	$5,005	$6,810	$1,698	$14,867	27	49	755
NE	$5,801	$3,700	$6,782	$79	$12,937	20	80	829
OH	$5,794	$3,663	$8,773	<$1	$80,222	79	240	3,997
SC	$5,787	$4,066	$6,111	$1	$29,421	43	114	1,727
RI	$5,781	$2,434	$6,826	$540	$38,335	8	34	172
HI	$5,681	$3,023	$7,557	$258	$21,401	12	27	203
VT	$5,676	$405	$6,152	$140	$8,999	4	43	152
IA	$5,629	$3,511	$6,110	$316	$16,222	21	61	409
MS	$5,584	$4,627	$8,122	$386	$92,360	22	201	740
AK	$5,543	$1,544	$7,912	$72	$15,448	5	18	61
AL	$5,464	$4,223	$6,339	$1	$120,094	36	200	905
AR	$5,444	$4,249	$6,079	$250	$15,263	21	218	802
LA	$5,411	$1,232	$10,394	$63	$17,881	38	126	1,778
CO	$5,367	$2,867	$6,169	$296	$28,029	54	80	1,616
MD	$5,345	$4,118	$5,770	$1,201	$7,423	2 ⚠ thin data	19	31
KS	$5,273	$1,883	$8,007	$248	$41,728	24	86	449
NH	$4,642	$1,727	$6,667	$153	$45,640	13	31	392
TX	$4,638	$1,999	$6,403	<$1	$42,703	221	468	9,761
NV	$4,599	$2,089	$6,579	$432	$28,516	18	127	582
TN	$4,223	$1,792	$5,707	$167	$24,506	48	175	2,678
UT	$4,172	$1,472	$4,663	$63	$15,596	33	78	2,030
NY	$3,945	$1,737	$7,256	$78	$81,900	100	294	7,371
AZ	$3,713	$2,268	$6,408	$370	$65,692	35	98	1,000
CT	$3,021	$2,283	$6,643	$193	$44,431	23	56	446
MA	$2,965	$864	$7,282	$1	$25,998	30	281	1,128
IN	$2,521	$688	$8,175	$136	$31,831	45	245	2,372
AS	$2,221	$537	$3,905	$537	$3,905	1 ⚠ thin data	1	6
MT	$1,935	$684	$6,072	$87	$17,101	12	45	149
WY	$1,452	$1,161	$3,222	$369	$11,534	7	40	76
WV	$1,224	$378	$5,953	$127	$41,594	11	49	186
PR	$1,200	$750	$1,785	$100	$5,430	8	22	53
MI	$972	$373	$4,547	<$1	$17,662	63	272	1,833