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Simple Kidney Pelvis Reconstruction (Pyeloplasty)

Montana rates for HCPCS 50400

A surgery that reshapes and reconstructs the funnel-shaped part of the kidney that collects urine before it drains into the ureter, most often to relieve a blockage where the kidney meets the ureter. This version is the more straightforward form of the operation, typically the first surgery performed at this site rather than a repeat or more complex repair. It restores normal urine drainage from the kidney to help prevent kidney damage.

Rates data updated July 2026.

How much does Simple Kidney Pelvis Reconstruction (Pyeloplasty) cost?

$3,945

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

Insurers have agreed to pay about $3,945 for this procedure. That total is two separate charges: $1,950 to the doctor who performs it, and $1,995 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$1,950$1,349 to $2,188
Facility feeThe hospital or surgery center$1,995$1,950 to $2,042

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,950 to $3,020Professionalmedian $1,950 · 10th to 90th $1,230 to $4,571
$100$1K$10K$100Kfacility $1,995professional $1,950

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
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,187.76
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,187.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,318.26
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$2,884.03

Where Montana sits

The same service costs 9.0 times more in Maine than in West Virginia. 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

Montana· 42nd of 50

$3,945

$1,950 physician + $1,995 facility

ME $21,047WV $2,327

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.