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Unlisted Procedure On The Urinary System

Montana rates for HCPCS 53899

Covers a procedure on the urinary system — the kidneys, ureters, bladder and urethra — that has no standard named entry of its own. It is used when what was performed does not match any established named urinary procedure, and the doctor supplies a written description of what was done.

Rates data updated July 2026.

How much does Unlisted Procedure On The Urinary System cost?

$380

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $16,596 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 4 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$380$380 to $380
FacilityA hospital or hospital-owned outpatient department$16,596$871 to $75,858

How much rates vary

Facilitymedian $16,596 · 10th to 90th $661 to $89,125Professionalmedian $380 · 10th to 90th $79 to $661
$100$1K$10K$100Kfacility $16,596professional $380

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11

Where Montana sits

The same service costs 57.5 times more in New Hampshire than in South Dakota. 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.

Montana· 46th of 50

$380

NH $10,715SD $186

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.