CPT 47542 Surgery - Digestive
Dilate biliary duct/ampulla Cost
Body System: Digestive
Medicare Facility Rate
$117
CMS PFS CY2026
Medicare Non-Facility Rate
$476
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.78
Work RVU
0.40
Facility PE RVU
0.33
Malpractice RVU
14.25
Total RVU
Frequently Asked Questions
How much does Dilate biliary duct/ampulla cost?
The Medicare facility rate is $117. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Dilate biliary duct/ampulla cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $117.