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Bladder Calculi Irrigation Solution

Pennsylvania rates for HCPCS Q2004

Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml

Rates data updated July 2026.

How much does Bladder Calculi Irrigation Solution cost?

$102per 500 mL

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $102 for each 500 mL of this drug. The price depends on where it is billed: about $102 from a physician practice, and about $155 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 500 mL. Enter the amount given to see what insurers have agreed to pay for it.

mL
In a doctor's office or clinic
$102
At a hospital outpatient department
$155

The same drug, in the same amount, costs 51% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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$102$102 to $102
FacilityA hospital or hospital-owned outpatient department$155$102 to $269

How much rates vary

Facilitymedian $155 · 10th to 90th $44 to $288Professionalmedian $102 · 10th to 90th $102 to $102
$20$100$500$2Kfacility $155professional $102

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
$102.33
Median
$173.78
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$34.67
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$288.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$208.93
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25

Where Pennsylvania sits

The same service costs 6.9 times more in Colorado than in Montana. 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· 13th of 51

$102

CO $174MT $25.12

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.