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Medication Instillation Through a Kidney Drainage Tube

New Jersey rates for HCPCS 50391

A procedure in which a medication is delivered directly into the kidney's drainage area or the ureter through an existing nephrostomy tube, a drainage tube placed through the skin into the kidney, or a previously placed ureteral catheter. It is used to treat a local problem inside the urinary drainage system, such as dissolving certain deposits or delivering medication directly to the area. It does not include placing the drainage tube itself, only using it to give the treatment.

Rates data updated July 2026.

How much does Medication Instillation Through a Kidney Drainage Tube cost?

$5,024

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

Insurers have agreed to pay about $5,024 for this procedure. That total is two separate charges: $126 to the doctor who performs it, and $4,898 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$126$105 to $162
Facility feeThe hospital or surgery center$4,898$2,754 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $162 to $10,471Professionalmedian $126 · 10th to 90th $91 to $324
$100$200$500$1K$2K$5K$10Kfacility $4,898professional $126

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
$162.18
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$239.88
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$1,122.02
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$234.42

Where New Jersey sits

The same service costs 27.7 times more in New Jersey 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

New Jersey· 1st of 49

$5,024

$126 physician + $4,898 facility

NJ $5,024MD $181

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.