go back

Telescope Surgery To Open A Blocked Kidney Outlet

Hawaii rates for HCPCS 50575

A telescope is passed into the kidney's collecting system through a small opening in the side, and the narrowed point where the kidney drains into the ureter is cut open to relieve the holdup. A stent is usually left across the area while it heals.

Rates data updated July 2026.

How much does Telescope Surgery To Open A Blocked Kidney Outlet cost?

$724

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $724 to $832.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,818 to $3,020Professionalmedian $724 · 10th to 90th $617 to $933
$50$100$200$500$1K$2Kfacility $2,818professional $724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,023.29
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$776.25
Typical High
$1,258.93

Where Hawaii sits

The same service costs 4.7 times more in California 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.

Hawaii· 50th of 51

$724

CA $3,388WV $724

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.