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Making a Drainage Opening Into the Bladder

South Dakota rates for HCPCS 51040

Makes an opening into the bladder through a small cut in the lower abdomen so that urine can drain out, normally through a tube left in place. It is done when urine cannot leave by the usual route — because of a blockage, an injury, or a passage that cannot be catheterized — or when the bladder needs to be rested and drained. The opening can be temporary or long-term.

Rates data updated October 2026.

How much does Making a Drainage Opening Into the Bladder cost?

$1,997

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

Insurers have agreed to pay about $1,997 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $1,380 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$617$479 to $692
Facility feeThe hospital or surgery center$1,380$537 to $1,698

How much rates vary

Facilitymedian $1,380 · 10th to 90th $427 to $1,820Professionalmedian $617 · 10th to 90th $295 to $813
$500$1K$2K$5Kfacility $1,380professional $617

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
$288.40
Median
$288.40
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$288.40
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,258.93
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$691.83
Typical High
$851.14
Medica
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$691.83
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$776.25
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$676.08
Typical High
$676.08
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$489.78
Typical High
$575.44
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$724.44
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$660.69
Typical High
$660.69

Where South Dakota sits

The same service costs 6.6 times more in Oklahoma than in Montana. 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· 36th of 51

$1,997

$617 physician + $1,380 facility

OK $6,126MT $925

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.