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Bladder Channel To The Skin Using The Appendix

Hawaii rates for HCPCS 50845

Builds a narrow channel between the bladder and an opening on the surface of the abdomen, using the appendix as the tube. The person then empties the bladder by passing a thin catheter through that opening instead of through the urethra. It is done for people who cannot empty the bladder normally, often because of a nerve or spinal condition.

Rates data updated October 2026.

How much does Bladder Channel To The Skin Using The Appendix cost?

$1,549

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,349 to $1,778.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $1,549 · 10th to 90th $30 to $1,995
$50$100$200$500$1K$2Kfacility $1,202professional $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,949.84
Typical High
$2,290.87
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$891.25
Median
$977.24
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$302.00
Median
$331.13
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,819.70
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,258.93
Typical High
$1,659.59

Where Hawaii sits

The same service costs 5.6 times more in Alaska than in Utah. 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.

Hawaii· 33rd of 51

$1,549

AK $5,012UT $891

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.