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Bladder Opened To Remove A Stone From The Ureter

Massachusetts rates for HCPCS 51065

Surgery in which the bladder is opened so the surgeon can reach a stone stuck in the lower part of the ureter, the tube draining urine from the kidney. The stone is caught in a small basket and pulled out, or broken into pieces first if it is too large to come free whole.

Rates data updated July 2026.

How much does Bladder Opened To Remove A Stone From The Ureter cost?

$3,995

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

Insurers have agreed to pay about $3,995 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $3,236 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$759$603 to $1,259
Facility feeThe hospital or surgery center$3,236$1,950 to $4,677

How much rates vary

Facilitymedian $3,236 · 10th to 90th $603 to $7,244Professionalmedian $759 · 10th to 90th $550 to $1,778
$500$1K$2K$5K$10K$20Kfacility $3,236professional $759

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
$1,949.84
Median
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,819.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,370.32
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$812.83
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,584.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$676.08
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$870.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,659.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,370.32
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$812.83
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$2,454.71

Where Massachusetts sits

The same service costs 9.3 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

Massachusetts· 31st of 50

$3,995

$759 physician + $3,236 facility

IN $10,894WV $1,166

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.