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Bladder Channel To The Skin Using The Appendix

Maryland 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 July 2026.

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

$1,349

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,288 to $2,570.

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 $661 · 10th to 90th $661 to $661Professionalmedian $1,349 · 10th to 90th $1,230 to $3,802
$1K$2K$5Kfacility $661professional $1,349

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
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$5,370.32
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$3,467.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,691.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$1,778.28

Where Maryland sits

The same service costs 5.8 times more in California 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.

Maryland· 50th of 51

$1,349

CA $7,413WV $1,288

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.