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Unlisted Procedure On The Urinary System

Pennsylvania 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?

$2,399

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $2,692 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 6 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$1,230$380 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,692$1,413 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $525 to $8,318Professionalmedian $1,230 · 10th to 90th $263 to $64,565
$100$1K$10Kfacility $2,692professional $1,230

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
$977.24
Median
$2,818.38
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$2,754.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$446.68
Typical High
$7,762.47
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,691.53
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,348.96
Typical High
$6,165.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$3,890.45

Where Pennsylvania 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.

Pennsylvania· 25th of 50

$2,399

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.