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Procedure price report · Nephrotomy and nephrostomy

Conversion of kidney drain to kidney-to-bladder catheter

CPT 50434the billing code this page is about

An existing kidney drainage tract is used to replace a nephrostomy tube with a longer catheter that extends down the ureter into the bladder, including imaging guidance.

Hospitals typically charge $2,405 cash for this outpatient procedure — the median across 1,642 hospitals that filed a usable cash price; the average of the middle 60% is $2,587. Most fall between $1,198 and $4,680 (20th–80th percentile).

Hospitals
1,642
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 1,642 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
$783$1,420$2,405$4,267$6,264

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($783 vs $6,264).

How the prices are spread

$448 – $599: 33 hospitals$448$599 – $802: 65 hospitals$802 – $1,073: 85 hospitals$802$1,073 – $1,435: 157 hospitals$1,435 – $1,920: 187 hospitals$1,435$1,920 – $2,568: 277 hospitals$2,568 – $3,436: 230 hospitals$2,568$3,436 – $4,596: 168 hospitals$4,596 – $6,149: 189 hospitals$4,596$6,149 – $8,226: 88 hospitals$6,149median $2,405price bands are equal on a log scale
Hospitals per price band (1,479 of 1,642 — the bands cover the 5th to 95th percentile)
FromToHospitals
$448$59933
$599$80265
$802$1,07385
$1,073$1,435157
$1,435$1,920187
$1,920$2,568277
$2,568$3,436230
$3,436$4,596168
$4,596$6,149189
$6,149$8,22688

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,136
Median cash price$2,405
Cash as a multiple of Medicare1.13×

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 $2,405.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,064 across 34 hospitalsWA$2,064Idaho: median $5,082 across 13 hospitalsID$5,082Montana: median $1,466 across 11 hospitalsMT$1,466North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,919 across 40 hospitalsMN$1,919Illinois: median $2,110 across 69 hospitalsIL$2,110Wisconsin: median $4,003 across 57 hospitalsWI$4,003Michigan: median $2,057 across 60 hospitalsMI$2,057New York: median $2,484 across 61 hospitalsNY$2,484Massachusetts: median $1,872 across 32 hospitalsMA$1,872Oregon: median $2,051 across 32 hospitalsOR$2,051Nevada: median $2,055 across 10 hospitalsNV$2,055Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,240 across 20 hospitalsIA$2,240Indiana: median $2,298 across 46 hospitalsIN$2,298Ohio: median $2,376 across 95 hospitalsOH$2,376Pennsylvania: median $3,463 across 88 hospitalsPA$3,463New Jersey: median $2,733 across 55 hospitalsNJ$2,733Connecticut: median $3,251 across 16 hospitalsCT$3,251Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,778 across 145 hospitalsCA$2,778Utah: median $4,680 across 26 hospitalsUT$4,680Colorado: median $2,972 across 33 hospitalsCO$2,972Nebraska: median $1,359 across 16 hospitalsNE$1,359Missouri: median $2,085 across 39 hospitalsMO$2,085Kentucky: median $1,844 across 16 hospitalsKY$1,844West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,499 across 36 hospitalsVA$1,499Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,475 across 29 hospitalsAZ$1,475New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,969 across 13 hospitalsKS$1,969Arkansas: median $1,018 across 14 hospitalsAR$1,018Tennessee: median $799 across 36 hospitalsTN$799North Carolina: median $2,398 across 43 hospitalsNC$2,398South Carolina: median $2,744 across 30 hospitalsSC$2,744Oklahoma: median $754 across 27 hospitalsOK$754Louisiana: median $1,534 across 25 hospitalsLA$1,534Mississippi: median $1,449 across 23 hospitalsMS$1,449Alabama: median $2,061 across 15 hospitalsAL$2,061Georgia: median $1,921 across 58 hospitalsGA$1,921Hawaii: median $2,329 across 11 hospitalsHI$2,329Texas: median $4,267 across 113 hospitalsTX$4,267Florida: median $2,508 across 88 hospitalsFL$2,508
Cash price by state, most expensive first. National median $2,405. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID13$5,082+111%$1,674 – $5,304
Utah UT26$4,680+95%$4,680 – $9,575
Texas TX113$4,267+77%$1,753 – $5,650
Wisconsin WI57$4,003+66%$1,803 – $4,612
Pennsylvania PA88$3,463+44%$2,137 – $7,418
Connecticut CT16$3,251+35%$1,188 – $6,872
Colorado CO33$2,972+24%$1,767 – $3,821
California CA145$2,778+15%$1,487 – $5,654
South Carolina SC30$2,744+14%$2,570 – $4,240
New Jersey NJ55$2,733+14%$2,267 – $5,855
Florida FL88$2,508+4%$1,845 – $5,480
New York NY61$2,484+3%$1,846 – $4,432
North Carolina NC43$2,3980%$1,167 – $4,197
Ohio OH95$2,376−1%$1,434 – $6,125
Hawaii HI11$2,329−3%$2,096 – $5,013
Indiana IN46$2,298−4%$1,145 – $3,706
Iowa IA20$2,240−7%$1,183 – $3,842
Illinois IL69$2,110−12%$1,080 – $4,249
Missouri MO39$2,085−13%$1,255 – $2,683
Washington WA34$2,064−14%$984 – $3,490
Alabama AL15$2,061−14%$1,043 – $3,298
Michigan MI60$2,057−14%$257 – $4,612
Nevada NV10$2,055−15%$840 – $3,534
Oregon OR32$2,051−15%$1,943 – $4,533
Kansas KS13$1,969−18%$1,252 – $5,147
Georgia GA58$1,921−20%$1,034 – $3,543
Minnesota MN40$1,919−20%$1,501 – $2,591
Massachusetts MA32$1,872−22%$1,086 – $6,508
Kentucky KY16$1,844−23%$1,239 – $8,226
Louisiana LA25$1,534−36%$786 – $2,629
Virginia VA36$1,499−38%$892 – $2,414
Arizona AZ29$1,475−39%$1,141 – $15,144
Montana MT11$1,466−39%$605 – $1,486
Mississippi MS23$1,449−40%$723 – $2,448
Nebraska NE16$1,359−43%$578 – $3,379
Arkansas AR14$1,018−58%$471 – $1,676
Tennessee TN36$799−67%$370 – $1,206
Oklahoma OK27$754−69%$311 – $1,565
North Dakota ND8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Vermont VT2not 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 $2,405.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,464$2,411$1,197 – $4,680
Children’s34$2,611$1,462 – $4,392
Critical access135$2,073$1,047 – $4,612
Ownership
For-profit154$2,799$1,034 – $5,650
Government194$2,056$1,043 – $4,197
Non-profit1,285$2,407$1,225 – $4,619
System affiliation
Part of a system1,447$2,424$1,231 – $4,717
Independent195$2,089$930 – $3,650

Cash price vs list price

Median list price (chargemaster)$4,222
Median cash price$2,405
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

1,301 hospitals filed a usable inpatient cash price for this code. The median is $2,436 and the average of the middle 60% is $2,674; most fall between $1,189 and $4,784.

Cash price percentiles, inpatient, across 1,301 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
$783$1,423$2,436$4,432$6,421

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($783 vs $6,421).

Of the 1,393 hospitals that filed this code inpatient, 1,301 gave a usable cash price; 44 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,642 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,763 hospitals that filed this code at all gave us
Usable cash price — counted1,642
Cash price carrying a plausibility flag — shown on the compare tool, excluded here67
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded52
Hospitals that filed this code1,763

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 Convert Nephrostomy Cath to Nephrourtrl Cath Prq.

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, “Conversion of kidney drain to kidney-to-bladder catheter (CPT 50434) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50434-conversion-of-kidney-drain-to-kidney-to-bladder-catheter