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Repeat Open Surgery To Remove A Kidney Stone

Massachusetts rates for HCPCS 50065

Opens the kidney to take out a stone in someone who has already had surgery on that kidney before. The earlier operation leaves scar tissue that the surgeon has to work through, which makes reaching the stone considerably more involved than a first-time procedure. It is done under general anesthesia through an incision in the flank, with a hospital stay afterward.

Rates data updated July 2026.

How much does Repeat Open Surgery To Remove A Kidney Stone cost?

$1,585

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $2,818 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,230 to $2,455
FacilityA hospital or hospital-owned outpatient department$2,818$1,230 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $794 to $5,623Professionalmedian $1,479 · 10th to 90th $1,096 to $3,388
$100$500$2K$10Kfacility $2,818professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$3,715.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$7,244.36
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$3,235.94
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,348.96
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$1,778.28
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$2,884.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,754.23
Typical High
$7,244.36
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$3,388.44

Where Massachusetts sits

The same service costs 3.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 32nd of 51

$1,585

CA $4,898WV $1,288

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.