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Telescope Surgery To Open A Blocked Kidney Outlet

Montana 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?

$2,405

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

Insurers have agreed to pay about $2,405 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $1,202 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$1,202$891 to $1,318
Facility feeThe hospital or surgery center$1,202$1,202 to $1,259

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,202 to $1,479Professionalmedian $1,202 · 10th to 90th $759 to $3,715
$100$200$500$1K$2K$5K$10Kfacility $1,202professional $1,202

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
$724.44
Median
$891.25
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$851.14
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,778.28

Where Montana 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

Montana· 47th of 50

$2,405

$1,202 physician + $1,202 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.