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Bladder Scope Removal Of A Stone Or Object, Complicated Case

West Virginia 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?

$437

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $437 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 5 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$437$288 to $525
FacilityA hospital or hospital-owned outpatient department$437$257 to $437

How much rates vary

Facilitymedian $437 · 10th to 90th $257 to $1,622Professionalmedian $437 · 10th to 90th $263 to $589
$500$1K$2K$5Kfacility $437professional $437

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
$257.04
Median
$436.52
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$346.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$4,897.79
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$758.58

Where West Virginia 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.

West Virginia· 50th of 51

$437

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.