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Bladder Scope Removal Of A Stone Or Object, Complicated Case

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $2,188 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 7 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$525$407 to $759
FacilityA hospital or hospital-owned outpatient department$2,188$631 to $2,188

How much rates vary

Facilitymedian $2,188 · 10th to 90th $355 to $3,090Professionalmedian $525 · 10th to 90th $257 to $1,023
$500$1K$2Kfacility $2,188professional $525

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
$467.74
Median
$2,187.76
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$676.08
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$831.76
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$676.08
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$1,122.02

Where South Dakota 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.

South Dakota· 29th 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.