Review by radiologist of image from tube placement into bile duct using an endoscope
Medicare pricing data for 7,044 providers across 51 states
This procedure has a 7.8x markup — hospitals charge $170.41 but Medicare allows only $21.82. Uninsured patients may face bills 7.8 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Review by radiologist of image from tube placement into bile duct using an endoscope (HCPCS code 74328) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.82, but hospitals typically charge $170.41 — a 7.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.82, your out-of-pocket cost would be approximately $4.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.8x more than what Medicare allows for this procedure. Medicare actually pays $17.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $30 | $232 | 30 | 170 | +38.4% |
| New York | $25 | $211 | 299 | 3,233 | +14.2% |
| California | $24 | $200 | 559 | 5,776 | +12.1% |
| District of Columbia | $24 | $111 | 13 | 400 | +10.9% |
| Connecticut | $24 | $153 | 93 | 784 | +10.2% |
| Massachusetts | $24 | $138 | 159 | 2,023 | +9.8% |
| Washington | $24 | $119 | 179 | 1,636 | +7.8% |
| New Jersey | $23 | $341 | 189 | 1,266 | +7.7% |
| Rhode Island | $23 | $132 | 54 | 400 | +6.0% |
| Hawaii | $23 | $209 | 22 | 186 | +5.7% |
| Montana | $23 | $139 | 32 | 216 | +5.0% |
| Maryland | $23 | $138 | 71 | 766 | +4.9% |
| Oregon | $23 | $118 | 88 | 481 | +4.2% |
| Nevada | $23 | $162 | 59 | 332 | +3.9% |
| New Hampshire | $23 | $213 | 48 | 408 | +3.8% |
| Wyoming | $23 | $98 | 5 | 25 | +3.3% |
| North Dakota | $23 | $103 | 13 | 275 | +3.3% |
| Maine | $23 | $112 | 35 | 252 | +3.2% |
| Texas | $22 | $178 | 533 | 4,213 | +2.6% |
| Vermont | $22 | $149 | 7 | 113 | +2.5% |
| Missouri | $22 | $154 | 166 | 1,576 | +2.4% |
| Minnesota | $22 | $134 | 160 | 1,519 | +2.3% |
| Pennsylvania | $22 | $143 | 287 | 2,527 | +2.1% |
| Illinois | $22 | $203 | 386 | 3,026 | +1.9% |
| South Dakota | $22 | $90 | 19 | 394 | +1.8% |
| Utah | $22 | $113 | 49 | 311 | +0.5% |
| Michigan | $22 | $147 | 204 | 1,517 | +0.4% |
| Kansas | $22 | $100 | 70 | 467 | +0.2% |
| Colorado | $22 | $118 | 171 | 1,433 | +0.1% |
| Indiana | $22 | $177 | 144 | 1,560 | -0.6% |
| Louisiana | $22 | $229 | 99 | 557 | -0.8% |
| Nebraska | $22 | $134 | 52 | 232 | -1.2% |
| Iowa | $22 | $143 | 78 | 507 | -1.3% |
| Arizona | $21 | $132 | 145 | 1,444 | -2.0% |
| Mississippi | $21 | $459 | 52 | 289 | -3.4% |
| Virginia | $21 | $141 | 170 | 1,728 | -3.6% |
| Oklahoma | $21 | $131 | 100 | 873 | -3.6% |
| Idaho | $21 | $96 | 53 | 350 | -5.2% |
| Alabama | $20 | $117 | 77 | 635 | -6.1% |
| North Carolina | $20 | $186 | 181 | 1,915 | -6.6% |
| West Virginia | $20 | $144 | 54 | 622 | -7.0% |
| New Mexico | $20 | $161 | 35 | 142 | -7.7% |
| Delaware | $20 | $97 | 16 | 86 | -9.2% |
| Arkansas | $20 | $133 | 68 | 345 | -9.8% |
| Wisconsin | $19 | $219 | 224 | 1,225 | -11.1% |
| Ohio | $19 | $146 | 237 | 1,837 | -11.6% |
| Georgia | $19 | $173 | 254 | 1,218 | -14.1% |
| Florida | $18 | $203 | 572 | 4,149 | -17.4% |
| Tennessee | $18 | $150 | 173 | 1,162 | -18.6% |
| South Carolina | $17 | $125 | 121 | 797 | -21.1% |
| Kentucky | $16 | $115 | 100 | 666 | -27.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber