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Telescope Surgery To Open A Blocked Kidney Outlet

Pennsylvania 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?

$5,528

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

Insurers have agreed to pay about $5,528 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $4,786 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$661 to $813
Facility feeThe hospital or surgery center$4,786$1,413 to $7,762

How much rates vary

Facilitymedian $4,786 · 10th to 90th $759 to $8,511Professionalmedian $741 · 10th to 90th $631 to $1,202
$1K$2K$5K$10Kfacility $4,786professional $741

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
$758.58
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$912.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$870.96
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,047.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,380.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,548.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,445.44

Where Pennsylvania 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

Pennsylvania· 22nd of 50

$5,528

$741 physician + $4,786 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.