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

Pennsylvania 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?

$881

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

Insurers have agreed to pay about $881 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $501 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$57.54 to $490
Facility feeThe hospital or surgery center$501$347 to $1,660

How much rates vary

Facilitymedian $501 · 10th to 90th $295 to $3,467Professionalmedian $380 · 10th to 90th $51 to $661
$50$100$200$500$1K$2K$5Kfacility $501professional $380

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
$114.82
Median
$1,995.26
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$331.13
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$537.03
Typical High
$707.95
Capital Blue Cross
Setting
Professional
Modifier
50 · Both sides
Typical Low
$562.34
Median
$812.83
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$446.68
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$120.23
Typical High
$602.56
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
Geisinger
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$380.19
Typical High
$660.69
Geisinger
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$478.63
Typical High
$776.25
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$2,454.71
Typical High
$3,981.07
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$1,819.70
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$331.13
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$676.08
Typical High
$776.25
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$1,862.09
Typical High
$3,090.30
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$389.05
Typical High
$2,754.23
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$436.52
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$245.47
Typical High
$616.60

Where Pennsylvania 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

Pennsylvania· 35th of 51

$881

$380 physician + $501 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.