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Open Removal of a Stone From the Kidney

Virginia 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?

$6,798

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

Insurers have agreed to pay about $6,798 for this procedure. That total is two separate charges: $1,175 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$1,096 to $1,479
Facility feeThe hospital or surgery center$5,623$1,622 to $14,791

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,175 to $18,621Professionalmedian $1,175 · 10th to 90th $977 to $2,291
$1K$2K$5K$10K$20Kfacility $5,623professional $1,175

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
$1,174.90
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$1,479.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,862.09
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$2,754.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,137.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$2,089.30

Where Virginia sits

The same service costs 11.9 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Virginia· 18th of 50

$6,798

$1,175 physician + $5,623 facility

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.