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Open Removal of a Stone From the Kidney

Illinois rates for HCPCS 50130

Open surgery that cuts into the funnel-shaped collecting area of the kidney, where urine gathers before draining toward the bladder, and lifts out a stone lodged there. It is used when a stone cannot be cleared by less invasive means such as shock wave treatment or a scope.

Rates data updated July 2026.

How much does Open Removal of a Stone From the Kidney cost?

$3,209

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $3,209 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $1,950 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$1,047 to $1,862
Facility feeThe hospital or surgery center$1,950$1,259 to $5,129

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,047 to $9,772Professionalmedian $1,259 · 10th to 90th $955 to $2,455
$100.0$1.0K$10.0Kfacility $1,950professional $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
$1,047.13
Median
$1,949.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$16,218.10
Typical High
$31,622.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$2,089.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,698.24
Typical High
$4,466.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,238.72

Where Illinois sits

The same service costs 11.9 times more in Maine than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIllinois $3,209 · 44th of 50
ME $20,911MD $1,757

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.