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Simple Kidney Pelvis Reconstruction (Pyeloplasty)

Pennsylvania 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?

$6,601

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

Insurers have agreed to pay about $6,601 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $5,370 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$1,072 to $1,479
Facility feeThe hospital or surgery center$5,370$2,239 to $8,318

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,230 to $8,511Professionalmedian $1,230 · 10th to 90th $1,023 to $2,512
$1K$2K$5K$10K$20Kfacility $5,370professional $1,230

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
$1,230.27
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$3,630.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,380.38
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,238.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$16,595.87
Typical High
$18,620.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,445.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,318.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,388.44
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,344.23

Where Pennsylvania 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

Pennsylvania· 21st of 50

$6,601

$1,230 physician + $5,370 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.