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Open Removal of a Large Staghorn Kidney Stone

Utah rates for HCPCS 50075

Open surgery to remove a very large branched kidney stone that fills the central collecting space of the kidney and extends into its branches. The kidney is opened directly so the stone can be lifted out, in one piece where possible. Stones of this size and shape usually cannot be cleared by less invasive methods.

Rates data updated July 2026.

Facilitymedian $3,388 · 10th–90th $2,089$6,0260%20%10th90th$3,388Professionalmedian $2,089 · 10th–90th $1,380$4,7860%10%20%10th90th$2,089$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,630.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,187.76
Typical High
$3,019.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,344.23
Typical High
$2,754.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$3,019.95