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Removal Of A Kidney Drainage Tube, With X-ray Guidance

Indiana rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated October 2026.

How much does Removal Of A Kidney Drainage Tube, With X-ray Guidance cost?

$1,053

Typical total for the visit. In Indiana, October 2026.

Insurers have agreed to pay about $1,053 for this procedure. That total is two separate charges: $162 to the doctor who performs it, and $891 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$162$66.07 to $525
Facility feeThe hospital or surgery center$891$479 to $3,090

How much rates vary

Facilitymedian $891 · 10th to 90th $324 to $4,677Professionalmedian $162 · 10th to 90th $52 to $617
$50$100$200$500$1K$2K$5Kfacility $891professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$478.63
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$331.13
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$2,089.30
Typical High
$5,370.32
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$123.03
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$79.43
Median
$177.83
Typical High
$1,000.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$549.54
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$117.49
Typical High
$676.08
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$794.33
Typical High
$2,089.30
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$134.90
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$1,348.96
Typical High
$3,801.89
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$251.19
Typical High
$616.60

Where Indiana sits

The same service costs 5.7 times more in New York 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

Indiana· 22nd of 51

$1,053

$162 physician + $891 facility

NY $2,925MD $509

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.