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Telescope Surgery To Open A Blocked Kidney Outlet

Oregon 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.

Facilitymedian $1,380 · 10th–90th $912$7,9430%20%40%10th90th$1,380Professionalmedian $1,023 · 10th–90th $692$1,9050%20%10th90th$1,023$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,445.44
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,905.46
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,348.96
Typical High
$1,905.46
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$16,595.87
Typical High
$20,417.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,659.59
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$1,995.26