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Procedure price report · Nephrotomy and nephrostomy

Exchange of a kidney drainage tube

CPT 50435the billing code this page is about

An existing kidney drainage catheter is removed and a new one placed through the same tract, including imaging guidance and any contrast pictures taken.

Hospitals typically charge $2,424 cash for this outpatient procedure — the median across 1,972 hospitals that filed a usable cash price; the average of the middle 60% is $2,495. Most fall between $1,150 and $4,400 (20th–80th percentile).

Hospitals
1,972
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 1,972 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
$706$1,363$2,424$3,897$5,855

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($706 vs $5,855).

How the prices are spread

$376 – $507: 34 hospitals$376$507 – $682: 57 hospitals$682 – $919: 91 hospitals$682$919 – $1,237: 161 hospitals$1,237 – $1,666: 202 hospitals$1,237$1,666 – $2,244: 240 hospitals$2,244 – $3,022: 406 hospitals$2,244$3,022 – $4,070: 228 hospitals$4,070 – $5,481: 217 hospitals$4,070$5,481 – $7,382: 140 hospitals$5,481median $2,424price bands are equal on a log scale
Hospitals per price band (1,776 of 1,972 — the bands cover the 5th to 95th percentile)
FromToHospitals
$376$50734
$507$68257
$682$91991
$919$1,237161
$1,237$1,666202
$1,666$2,244240
$2,244$3,022406
$3,022$4,070228
$4,070$5,481217
$5,481$7,382140

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,136
Median cash price$2,424
Cash as a multiple of Medicare1.14×

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 $2,424.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,727 across 11 hospitalsME$1,727Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,973 across 38 hospitalsWA$1,973Idaho: median $2,795 across 13 hospitalsID$2,795Montana: median $944 across 16 hospitalsMT$944North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,032 across 44 hospitalsMN$2,032Illinois: median $2,196 across 83 hospitalsIL$2,196Wisconsin: median $2,423 across 75 hospitalsWI$2,423Michigan: median $2,029 across 71 hospitalsMI$2,029New York: median $2,481 across 82 hospitalsNY$2,481Massachusetts: median $1,941 across 38 hospitalsMA$1,941Oregon: median $2,584 across 35 hospitalsOR$2,584Nevada: median $2,055 across 10 hospitalsNV$2,055Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $3,118 across 10 hospitalsSD$3,118Iowa: median $2,370 across 25 hospitalsIA$2,370Indiana: median $2,200 across 51 hospitalsIN$2,200Ohio: median $3,114 across 108 hospitalsOH$3,114Pennsylvania: median $2,790 across 101 hospitalsPA$2,790New Jersey: median $2,733 across 56 hospitalsNJ$2,733Connecticut: median $3,586 across 20 hospitalsCT$3,586Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,248 across 160 hospitalsCA$3,248Utah: median $4,929 across 26 hospitalsUT$4,929Colorado: median $1,868 across 38 hospitalsCO$1,868Nebraska: median $1,203 across 20 hospitalsNE$1,203Missouri: median $2,200 across 46 hospitalsMO$2,200Kentucky: median $1,638 across 17 hospitalsKY$1,638West Virginia: median $1,486 across 16 hospitalsWV$1,486Virginia: median $1,642 across 41 hospitalsVA$1,642Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,445 across 37 hospitalsAZ$1,445New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,969 across 21 hospitalsKS$1,969Arkansas: median $1,203 across 20 hospitalsAR$1,203Tennessee: median $779 across 40 hospitalsTN$779North Carolina: median $1,657 across 55 hospitalsNC$1,657South Carolina: median $2,806 across 37 hospitalsSC$2,806Oklahoma: median $1,285 across 31 hospitalsOK$1,285Louisiana: median $1,410 across 31 hospitalsLA$1,410Mississippi: median $834 across 36 hospitalsMS$834Alabama: median $2,103 across 33 hospitalsAL$2,103Georgia: median $2,962 across 65 hospitalsGA$2,962Hawaii: median $2,576 across 11 hospitalsHI$2,576Texas: median $3,009 across 147 hospitalsTX$3,009Florida: median $2,740 across 98 hospitalsFL$2,740
Cash price by state, most expensive first. National median $2,424. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$4,929+103%$4,929 – $5,799
Connecticut CT20$3,586+48%$1,047 – $6,872
California CA160$3,248+34%$1,923 – $5,232
South Dakota SD10$3,118+29%$1,039 – $3,118
Ohio OH108$3,114+28%$1,958 – $6,125
Texas TX147$3,009+24%$1,877 – $4,658
Georgia GA65$2,962+22%$1,486 – $4,387
South Carolina SC37$2,806+16%$1,875 – $4,251
Idaho ID13$2,795+15%$1,589 – $5,304
Pennsylvania PA101$2,790+15%$1,792 – $4,806
Florida FL98$2,740+13%$1,444 – $4,808
New Jersey NJ56$2,733+13%$2,269 – $5,418
Oregon OR35$2,584+7%$225 – $4,784
Hawaii HI11$2,576+6%$820 – $4,891
New York NY82$2,481+2%$1,167 – $4,432
Wisconsin WI75$2,4230%$1,602 – $2,955
Iowa IA25$2,370−2%$1,183 – $3,998
Indiana IN51$2,200−9%$1,363 – $3,581
Missouri MO46$2,200−9%$1,518 – $4,014
Illinois IL83$2,196−9%$990 – $4,463
Alabama AL33$2,103−13%$1,105 – $5,661
Nevada NV10$2,055−15%$898 – $2,365
Minnesota MN44$2,032−16%$1,496 – $2,466
Michigan MI71$2,029−16%$835 – $3,347
Washington WA38$1,973−19%$1,122 – $4,529
Kansas KS21$1,969−19%$1,084 – $3,701
Massachusetts MA38$1,941−20%$1,086 – $3,990
Colorado CO38$1,868−23%$1,292 – $3,609
Maine ME11$1,727−29%$948 – $2,579
North Carolina NC55$1,657−32%$976 – $2,303
Virginia VA41$1,642−32%$1,097 – $2,384
Kentucky KY17$1,638−32%$986 – $8,226
West Virginia WV16$1,486−39%$603 – $2,604
Arizona AZ37$1,445−40%$908 – $9,880
Louisiana LA31$1,410−42%$802 – $2,971
Oklahoma OK31$1,285−47%$881 – $2,492
Arkansas AR20$1,203−50%$644 – $1,330
Nebraska NE20$1,203−50%$837 – $1,611
Montana MT16$944−61%$944 – $1,713
Mississippi MS36$834−66%$367 – $1,802
Tennessee TN40$779−68%$344 – $1,344
North Dakota ND9not enough hospitals filed a usable price
New Mexico NM9not 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 Hampshire NH7not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT4not 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 $2,424.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,730$2,466$1,188 – $4,432
Children’s43$2,489$706 – $3,417
Critical access190$2,390$665 – $4,085
Ownership
For-profit216$2,675$1,470 – $5,834
Government241$2,070$850 – $3,650
Non-profit1,506$2,466$1,160 – $4,400
System affiliation
Part of a system1,687$2,481$1,183 – $4,508
Independent285$2,009$859 – $3,565

Cash price vs list price

Median list price (chargemaster)$4,117
Median cash price$2,424
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

1,515 hospitals filed a usable inpatient cash price for this code. The median is $2,570 and the average of the middle 60% is $2,617; most fall between $1,215 and $4,411.

Cash price percentiles, inpatient, across 1,515 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
$866$1,484$2,570$3,998$5,812

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($866 vs $5,812).

Of the 1,637 hospitals that filed this code inpatient, 1,515 gave a usable cash price; 53 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 68 a list price only.

How complete is this

1,972 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 2,152 hospitals that filed this code at all gave us
Usable cash price — counted1,972
Cash price carrying a plausibility flag — shown on the compare tool, excluded here97
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded75
Hospitals that filed this code2,152

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 Exchange Nephrostomy Catheter Prq W/Img Gid 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, “Exchange of a kidney drainage tube (CPT 50435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50435-exchange-of-a-kidney-drainage-tube