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Telescope Surgery To Open A Blocked Kidney Outlet

West Virginia 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?

$1,401

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $1,401 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $676 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$708 to $813
Facility feeThe hospital or surgery center$676$676 to $1,122

How much rates vary

Facilitymedian $676 · 10th to 90th $676 to $1,413Professionalmedian $724 · 10th to 90th $676 to $1,000
$50$200$1K$5Kfacility $676professional $724

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
$676.08
Median
$676.08
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,943.28
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,258.93

Where West Virginia 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

West Virginia· 50th of 50

$1,401

$724 physician + $676 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.