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Bladder Channel To The Skin Using The Appendix

Iowa 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?

$5,384

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $5,384 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $2,754 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$2,630$1,862 to $3,162
Facility feeThe hospital or surgery center$2,754$1,514 to $3,388

How much rates vary

Facilitymedian $2,754 · 10th to 90th $603 to $6,607Professionalmedian $2,630 · 10th to 90th $1,445 to $3,981
$100$500$2K$10Kfacility $2,754professional $2,630

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$5,888.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$3,630.78
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,754.23
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,818.38
Typical High
$21,877.62
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$3,801.89
United
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$2,344.23
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,137.96
Typical High
$4,073.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,630.27

Where Iowa sits

The same service costs 9.0 times more in Maine than in Maryland. 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

Iowa· 14th of 51

$5,384

$2,630 physician + $2,754 facility

ME $17,266MD $1,911

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.