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Bladder Opened To Remove A Stone From The Ureter

Pennsylvania 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?

$5,987

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

Insurers have agreed to pay about $5,987 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $5,370 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$617$537 to $708
Facility feeThe hospital or surgery center$5,370$2,818 to $7,244

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,047 to $8,511Professionalmedian $617 · 10th to 90th $513 to $1,230
$500$1K$2K$5K$10Kfacility $5,370professional $617

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
$1,047.13
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,071.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$891.25
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$724.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$5,370.32
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$562.34
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,174.90

Where Pennsylvania 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

Pennsylvania· 16th of 50

$5,987

$617 physician + $5,370 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.