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Telescope Surgery To Open A Blocked Kidney Outlet

Massachusetts 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?

$3,689

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

Insurers have agreed to pay about $3,689 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $2,818 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$724 to $1,479
Facility feeThe hospital or surgery center$2,818$813 to $5,129

How much rates vary

Facilitymedian $2,818 · 10th to 90th $479 to $8,511Professionalmedian $871 · 10th to 90th $646 to $2,042
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $871

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
$724.44
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$2,238.72
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$13,803.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,862.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,000.00
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$1,949.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$13,803.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$2,951.21

Where Massachusetts sits

The same service costs 11.6 times more in Indiana 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

Massachusetts· 36th of 50

$3,689

$871 physician + $2,818 facility

IN $16,282WV $1,401

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.