go back

Making a Drainage Opening Into the Bladder

Virginia 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 July 2026.

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

$3,715

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $479 to $6,918.

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 $3,890 · 10th to 90th $331 to $9,772Professionalmedian $363 · 10th to 90th $263 to $676
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,890professional $363

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
Facility
Modifier
Global
Typical Low
$501.19
Median
$5,370.32
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$831.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$676.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$630.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57

Where Virginia sits

The same service costs 33.1 times more in South Carolina than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $3,715 · 27th of 50
SC $8,913WV $269

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.