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Open Removal of a Stone From the Kidney

New York 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?

$6,826

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $6,826 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $5,623 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$1,000 to $1,820
Facility feeThe hospital or surgery center$5,623$2,951 to $9,333

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,413 to $12,589Professionalmedian $1,202 · 10th to 90th $871 to $2,884
$100.0$1.0K$10.0Kfacility $5,623professional $1,202

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
$1,202.26
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$2,630.27
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,659.59
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,905.46
Typical High
$4,677.35
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$1,995.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$2,187.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,445.44
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$3,467.37
Univera
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$3,548.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$3,162.28

Where New York 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 feeNew York $6,826 · 17th 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.