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Bladder Opening Onto The Abdominal Wall

New York rates for HCPCS 51980

Creates an opening from the bladder to the surface of the lower abdomen so urine drains straight out into a dressing or bag. It is used when urine cannot pass out the usual way or when the bladder needs to be kept empty.

Rates data updated July 2026.

How much does Bladder Opening Onto The Abdominal Wall cost?

$1,349

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$832$708 to $1,259
FacilityA hospital or hospital-owned outpatient department$4,898$2,884 to $7,762

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,000 to $11,482Professionalmedian $832 · 10th to 90th $603 to $1,995
$100.0$1.0K$10.0K$100.0Kfacility $4,898professional $832

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
$831.76
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,754.40
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,819.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,148.15
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,318.26
Typical High
$3,388.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,454.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,348.96
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$1,513.56
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$977.24
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$2,344.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$2,454.71
Univera
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$2,238.72

Where New York sits

The same service costs 8.7 times more in California than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $1,349 · 17th of 51
CA $6,457HI $741

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.