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Bladder Channel To The Skin Using The Appendix

South Dakota 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?

$3,833

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

Insurers have agreed to pay about $3,833 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $1,202 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$2,042 to $2,951
Facility feeThe hospital or surgery center$1,202$759 to $1,820

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $2,239Professionalmedian $2,630 · 10th to 90th $1,288 to $3,467
$1K$2K$5K$10K$20Kfacility $1,202professional $2,630

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
$1,258.93
Median
$1,258.93
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,621.81
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$3,311.31
Typical High
$21,877.62
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,951.21
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$3,090.30
Typical High
$3,467.37
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$2,754.23

Where South Dakota 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

South Dakota· 22nd of 51

$3,833

$2,630 physician + $1,202 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.