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Repeat Open Surgery To Remove A Kidney Stone

West Virginia 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?

$1,288

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,148 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 4 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$1,288$1,175 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,148$1,148 to $1,413

How much rates vary

Facilitymedian $1,148 · 10th to 90th $1,148 to $1,549Professionalmedian $1,288 · 10th to 90th $1,148 to $1,738
$50$100$200$500$1K$2K$5Kfacility $1,148professional $1,288

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
$1,148.15
Median
$1,148.15
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,380.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,548.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,089.30

Where West Virginia 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.

West Virginia· 51st of 51

$1,288

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.