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Bladder Scope Removal Of A Stone Or Object, Complicated Case

Massachusetts rates for HCPCS 52315

A scope is passed through the urethra into the bladder or urethra to remove a stone, a stent left over from a prior procedure, or another foreign object, without any external incision. This version applies to a more involved, complicated case, compared to a straightforward removal handled with a related, simpler version of the same procedure.

Rates data updated July 2026.

How much does Bladder Scope Removal Of A Stone Or Object, Complicated Case cost?

$525

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,778 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$501$331 to $794
FacilityA hospital or hospital-owned outpatient department$1,778$372 to $3,311

How much rates vary

Facilitymedian $1,778 · 10th to 90th $309 to $4,898Professionalmedian $501 · 10th to 90th $282 to $1,259
$200$500$1K$2K$5K$10K$20Kfacility $1,778professional $501

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
$436.52
Median
$2,691.53
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,445.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$4,265.80
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$537.03
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,148.15
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$758.58
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
$295.12
Median
$549.54
Typical High
$1,174.90
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$4,265.80
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$537.03
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$1,258.93

Where Massachusetts sits

The same service costs 4.1 times more in Hawaii than in Michigan. 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.

Massachusetts· 34th of 51

$525

HI $1,778MI $437

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.