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Telescope Surgery To Open A Blocked Kidney Outlet

South Dakota 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?

$2,824

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $2,824 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $1,622 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$1,202$724 to $1,585
Facility feeThe hospital or surgery center$1,622$1,000 to $4,365

How much rates vary

Facilitymedian $1,622 · 10th to 90th $851 to $4,467Professionalmedian $1,202 · 10th to 90th $603 to $1,995
$1K$2K$5K$10Kfacility $1,622professional $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. 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
$707.95
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$1,513.56

Where South Dakota 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

South Dakota· 44th of 50

$2,824

$1,202 physician + $1,622 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.