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Procedure price report · Nephrotomy and nephrostomy

Placement of kidney drainage tube through the skin

CPT 50432the billing code this page is about

A catheter is placed through the skin into the kidney's collecting system to drain urine, including imaging guidance and any contrast pictures taken during the procedure.

Hospitals typically charge $3,117 cash for this outpatient procedure — the median across 1,964 hospitals that filed a usable cash price; the average of the middle 60% is $3,337. Most fall between $1,676 and $5,643 (20th–80th percentile).

Hospitals
1,964
States
50
Filings dated
Feb 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,964 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,062$1,904$3,117$5,053$7,069

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($1,062 vs $7,069).

How the prices are spread

$595 – $781: 36 hospitals$595$781 – $1,024: 41 hospitals$1,024 – $1,344: 95 hospitals$1,024$1,344 – $1,763: 151 hospitals$1,763 – $2,313: 235 hospitals$1,763$2,313 – $3,035: 297 hospitals$3,035 – $3,982: 269 hospitals$3,035$3,982 – $5,224: 275 hospitals$5,224 – $6,854: 259 hospitals$5,224$6,854 – $8,993: 110 hospitals$6,854median $3,117price bands are equal on a log scale
Hospitals per price band (1,768 of 1,964 — the bands cover the 5th to 95th percentile)
FromToHospitals
$595$78136
$781$1,02441
$1,024$1,34495
$1,344$1,763151
$1,763$2,313235
$2,313$3,035297
$3,035$3,982269
$3,982$5,224275
$5,224$6,854259
$6,854$8,993110

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,136
Median cash price$3,117
Cash as a multiple of Medicare1.46×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,117.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,523 across 10 hospitalsNH$1,523Washington: median $2,996 across 40 hospitalsWA$2,996Idaho: median $4,506 across 14 hospitalsID$4,506Montana: median $1,442 across 14 hospitalsMT$1,442North Dakota: median $2,796 across 10 hospitalsND$2,796Minnesota: median $2,408 across 44 hospitalsMN$2,408Illinois: median $2,946 across 83 hospitalsIL$2,946Wisconsin: median $3,686 across 72 hospitalsWI$3,686Michigan: median $2,813 across 68 hospitalsMI$2,813New York: median $2,484 across 78 hospitalsNY$2,484Massachusetts: median $4,107 across 34 hospitalsMA$4,107Oregon: median $3,415 across 35 hospitalsOR$3,415Nevada: median $2,273 across 11 hospitalsNV$2,273Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,677 across 26 hospitalsIA$3,677Indiana: median $3,415 across 55 hospitalsIN$3,415Ohio: median $3,670 across 108 hospitalsOH$3,670Pennsylvania: median $3,463 across 94 hospitalsPA$3,463New Jersey: median $2,733 across 55 hospitalsNJ$2,733Connecticut: median $3,249 across 18 hospitalsCT$3,249Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,632 across 159 hospitalsCA$4,632Utah: median $3,889 across 26 hospitalsUT$3,889Colorado: median $2,574 across 38 hospitalsCO$2,574Nebraska: median $2,052 across 18 hospitalsNE$2,052Missouri: median $2,415 across 46 hospitalsMO$2,415Kentucky: median $2,099 across 18 hospitalsKY$2,099West Virginia: median $2,418 across 18 hospitalsWV$2,418Virginia: median $2,629 across 42 hospitalsVA$2,629Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,443 across 33 hospitalsAZ$1,443New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,282 across 22 hospitalsKS$2,282Arkansas: median $1,906 across 19 hospitalsAR$1,906Tennessee: median $915 across 40 hospitalsTN$915North Carolina: median $2,366 across 57 hospitalsNC$2,366South Carolina: median $3,893 across 42 hospitalsSC$3,893Oklahoma: median $2,616 across 29 hospitalsOK$2,616Louisiana: median $2,875 across 36 hospitalsLA$2,875Mississippi: median $1,623 across 35 hospitalsMS$1,623Alabama: median $2,829 across 31 hospitalsAL$2,829Georgia: median $3,618 across 68 hospitalsGA$3,618Hawaii: median $2,565 across 13 hospitalsHI$2,565Texas: median $4,233 across 151 hospitalsTX$4,233Florida: median $2,958 across 98 hospitalsFL$2,958
Cash price by state, most expensive first. National median $3,117. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA159$4,632+49%$2,527 – $7,540
Idaho ID14$4,506+45%$2,490 – $5,304
Texas TX151$4,233+36%$3,151 – $5,832
Massachusetts MA34$4,107+32%$1,786 – $6,980
South Carolina SC42$3,893+25%$2,371 – $4,859
Utah UT26$3,889+25%$3,889 – $4,575
Wisconsin WI72$3,686+18%$1,841 – $6,367
Iowa IA26$3,677+18%$2,259 – $4,691
Ohio OH108$3,670+18%$1,842 – $6,125
Georgia GA68$3,618+16%$1,651 – $5,397
Pennsylvania PA94$3,463+11%$2,237 – $6,200
Oregon OR35$3,415+10%$1,360 – $5,497
Indiana IN55$3,415+10%$2,255 – $4,595
Connecticut CT18$3,249+4%$2,968 – $6,631
Washington WA40$2,996−4%$1,480 – $4,976
Florida FL98$2,958−5%$1,777 – $6,641
Illinois IL83$2,946−5%$1,356 – $5,744
Louisiana LA36$2,875−8%$1,272 – $4,513
Alabama AL31$2,829−9%$2,001 – $7,271
Michigan MI68$2,813−10%$411 – $6,008
North Dakota ND10$2,796−10%$374 – $3,569
New Jersey NJ55$2,733−12%$2,267 – $5,517
Virginia VA42$2,629−16%$1,686 – $4,440
Oklahoma OK29$2,616−16%$1,846 – $3,759
Colorado CO38$2,574−17%$2,110 – $7,089
Hawaii HI13$2,565−18%$1,844 – $6,114
New York NY78$2,484−20%$1,603 – $5,140
West Virginia WV18$2,418−22%$2,053 – $3,870
Missouri MO46$2,415−23%$1,875 – $4,393
Minnesota MN44$2,408−23%$1,753 – $4,856
North Carolina NC57$2,366−24%$1,351 – $5,430
Kansas KS22$2,282−27%$1,388 – $3,568
Nevada NV11$2,273−27%$1,856 – $3,521
Kentucky KY18$2,099−33%$788 – $8,226
Nebraska NE18$2,052−34%$1,916 – $4,044
Arkansas AR19$1,906−39%$1,261 – $2,772
Mississippi MS35$1,623−48%$1,056 – $2,380
New Hampshire NH10$1,523−51%$252 – $4,479
Arizona AZ33$1,443−54%$1,073 – $11,498
Montana MT14$1,442−54%$372 – $2,338
Tennessee TN40$915−71%$670 – $2,318
South Dakota SD9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,117.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,726$3,122$1,753 – $5,680
Children’s44$3,214$1,480 – $7,410
Critical access185$2,943$1,062 – $4,890
Ownership
For-profit215$3,521$1,844 – $7,046
Government251$2,497$1,352 – $5,168
Non-profit1,489$3,151$1,730 – $5,610
System affiliation
Part of a system1,662$3,217$1,768 – $5,748
Independent302$2,717$1,261 – $4,655

Cash price vs list price

Median list price (chargemaster)$5,671
Median cash price$3,117
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,494 hospitals filed a usable inpatient cash price for this code. The median is $3,453 and the average of the middle 60% is $3,558; most fall between $1,773 and $5,832.

Cash price percentiles, inpatient, across 1,494 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,192$2,074$3,453$5,304$7,069

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($1,192 vs $7,069).

Of the 1,615 hospitals that filed this code inpatient, 1,494 gave a usable cash price; 50 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 70 a list price only.

How complete is this

1,964 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,129 hospitals that filed this code at all gave us
Usable cash price — counted1,964
Cash price carrying a plausibility flag — shown on the compare tool, excluded here82
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded77
Hospitals that filed this code2,129

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Nephrotomy and nephrostomy family.

Hospitals file this code under descriptions such as Plmt Nephrostomy Cath Prq New Access Rs&I.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Placement of kidney drainage tube through the skin (CPT 50432) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50432-placement-of-kidney-drainage-tube-through-the-skin