Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope
Medicare pricing data for 2,437 providers across 47 states
This procedure has a 7.5x markup — hospitals charge $193.75 but Medicare allows only $25.75. Uninsured patients may face bills 7.5 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 and pancreatic duct using an endoscope (HCPCS code 74330) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.75, but hospitals typically charge $193.75 — a 7.5x 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 $25.75, your out-of-pocket cost would be approximately $5.15. 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 7.5x more than what Medicare allows for this procedure. Medicare actually pays $20.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $37 | $244 | 7 | 14 | +45.0% |
| New Jersey | $29 | $267 | 57 | 212 | +14.5% |
| California | $29 | $223 | 248 | 944 | +12.9% |
| Connecticut | $29 | $186 | 51 | 165 | +12.2% |
| District of Columbia | $29 | $152 | 9 | 59 | +12.1% |
| New York | $29 | $244 | 112 | 408 | +11.7% |
| Washington | $28 | $142 | 73 | 301 | +9.3% |
| Maryland | $28 | $162 | 25 | 53 | +8.9% |
| Hawaii | $28 | $380 | 6 | 18 | +8.6% |
| New Mexico | $28 | $149 | 7 | 14 | +8.4% |
| Maine | $28 | $146 | 14 | 31 | +7.7% |
| Montana | $28 | $146 | 18 | 32 | +7.1% |
| Michigan | $27 | $172 | 69 | 233 | +6.4% |
| North Dakota | $27 | $175 | 15 | 52 | +5.1% |
| Nevada | $27 | $296 | 22 | 46 | +5.0% |
| Oregon | $27 | $122 | 55 | 174 | +4.9% |
| Missouri | $27 | $175 | 60 | 190 | +3.9% |
| Utah | $27 | $139 | 13 | 18 | +3.5% |
| Arizona | $27 | $188 | 45 | 183 | +3.5% |
| Texas | $27 | $262 | 135 | 381 | +3.0% |
| Minnesota | $26 | $178 | 35 | 71 | +2.2% |
| New Hampshire | $26 | $148 | 20 | 33 | +2.1% |
| Rhode Island | $26 | $230 | 17 | 32 | +1.7% |
| Kansas | $26 | $144 | 28 | 144 | +1.0% |
| Idaho | $26 | $108 | 12 | 21 | +1.0% |
| Wisconsin | $26 | $279 | 73 | 140 | +0.5% |
| Iowa | $26 | $170 | 27 | 96 | +0.4% |
| Louisiana | $26 | $206 | 32 | 62 | -0.6% |
| Colorado | $26 | $139 | 43 | 112 | -0.7% |
| Oklahoma | $25 | $154 | 29 | 116 | -1.2% |
| Alabama | $25 | $113 | 27 | 46 | -1.3% |
| Nebraska | $25 | $139 | 40 | 191 | -1.3% |
| Ohio | $25 | $216 | 64 | 218 | -1.6% |
| Indiana | $25 | $200 | 70 | 219 | -1.7% |
| Massachusetts | $25 | $162 | 67 | 421 | -1.8% |
| Pennsylvania | $25 | $165 | 108 | 313 | -2.8% |
| West Virginia | $25 | $169 | 22 | 50 | -4.4% |
| Illinois | $24 | $212 | 126 | 467 | -5.2% |
| Mississippi | $24 | $379 | 16 | 33 | -5.7% |
| Arkansas | $23 | $165 | 9 | 17 | -11.2% |
| North Carolina | $22 | $177 | 86 | 227 | -15.9% |
| Georgia | $22 | $168 | 66 | 158 | -16.4% |
| South Carolina | $22 | $170 | 41 | 66 | -16.4% |
| Virginia | $21 | $160 | 81 | 288 | -16.6% |
| Florida | $21 | $225 | 153 | 410 | -19.8% |
| Kentucky | $19 | $117 | 49 | 132 | -25.0% |
| Tennessee | $19 | $171 | 46 | 145 | -26.9% |
⚠️ 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