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Open Removal Of A Kidney Stone

Pennsylvania rates for HCPCS 50070

An operation in which the kidney is reached through an incision in the flank and opened so that a stone can be taken out directly. It is used when a stone cannot be treated with shock waves or through a scope, for instance because of its size or the shape of the kidney.

Rates data updated July 2026.

How much does Open Removal Of A Kidney Stone cost?

$1,259

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $5,370 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 9 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$1,259$1,096 to $1,413
FacilityA hospital or hospital-owned outpatient department$5,370$1,585 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,047 to $8,511Professionalmedian $1,259 · 10th to 90th $1,047 to $1,995
$1K$2K$5K$10K$20Kfacility $5,370professional $1,259

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
$1,258.93
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,513.56
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,412.54
Typical High
$2,187.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,778.28
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,290.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$3,162.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,513.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,412.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$2,398.83

Where Pennsylvania sits

The same service costs 3.9 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.

Pennsylvania· 48th of 51

$1,259

CA $4,898WV $1,259

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.