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Keyhole Removal Of A Stone From The Ureter

Pennsylvania rates for HCPCS 50945

Removes a stone from the ureter, the tube that carries urine from the kidney down to the bladder, working through a few small incisions with a camera and long instruments. It is used when a stone is too large or too firmly stuck to pass or to be broken up by other means.

Rates data updated July 2026.

How much does Keyhole Removal Of A Stone From The Ureter cost?

$7,630

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7,630 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $6,607 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,023$891 to $1,230
Facility feeThe hospital or surgery center$6,607$3,802 to $8,318

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,288 to $9,772Professionalmedian $1,023 · 10th to 90th $851 to $2,089
$1K$2K$5K$10Kfacility $6,607professional $1,023

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
$1,288.25
Median
$6,606.93
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,511.89
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,174.90
Typical High
$1,819.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,445.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,905.46
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,370.32
Typical High
$9,772.37
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$5,128.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,174.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,071.52
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,949.84

Where Pennsylvania sits

The same service costs 10.0 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

Pennsylvania· 21st of 50

$7,630

$1,023 physician + $6,607 facility

IN $19,319WV $1,935

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.