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Procedure price report · Nephrotomy and nephrostomy

Widening of an existing kidney tract for a scope procedure

CPT 50436the billing code this page is about

An existing drainage tract into the kidney is stretched open so instruments can pass through for a separately reported endoscopic procedure; includes imaging guidance and replacing a tube afterward.

Hospitals typically charge $3,485 cash for this outpatient procedure — the median across 1,144 hospitals that filed a usable cash price; the average of the middle 60% is $3,546. Most fall between $1,698 and $6,600 (20th–80th percentile).

Hospitals
1,144
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 1,144 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
$727$1,980$3,485$5,509$8,967

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($727 vs $8,967).

How the prices are spread

$340 – $489: 37 hospitals$340$489 – $702: 16 hospitals$702 – $1,010: 33 hospitals$702$1,010 – $1,452: 44 hospitals$1,452 – $2,087: 124 hospitals$1,452$2,087 – $3,000: 190 hospitals$3,000 – $4,313: 247 hospitals$3,000$4,313 – $6,201: 143 hospitals$6,201 – $8,914: 138 hospitals$6,201$8,914 – $12,815: 63 hospitals$8,914median $3,485price bands are equal on a log scale
Hospitals per price band (1,035 of 1,144 — the bands cover the 5th to 95th percentile)
FromToHospitals
$340$48937
$489$70216
$702$1,01033
$1,010$1,45244
$1,452$2,087124
$2,087$3,000190
$3,000$4,313247
$4,313$6,201143
$6,201$8,914138
$8,914$12,81563

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$3,485
Cash as a multiple of Medicare0.97×

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 $3,485.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,473 across 32 hospitalsWA$2,473Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,869 across 10 hospitalsMN$1,869Illinois: median $2,850 across 61 hospitalsIL$2,850Wisconsin: median $3,485 across 31 hospitalsWI$3,485Michigan: median $1,741 across 44 hospitalsMI$1,741New York: median $4,081 across 51 hospitalsNY$4,081Massachusetts: median $3,044 across 20 hospitalsMA$3,044Oregon: median $3,858 across 24 hospitalsOR$3,858Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,204 across 20 hospitalsIA$2,204Indiana: median $1,817 across 40 hospitalsIN$1,817Ohio: median $4,827 across 72 hospitalsOH$4,827Pennsylvania: median $3,948 across 57 hospitalsPA$3,948New Jersey: median $4,636 across 47 hospitalsNJ$4,636Connecticut: median $3,501 across 10 hospitalsCT$3,501Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,263 across 95 hospitalsCA$4,263Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,769 across 27 hospitalsCO$2,769Nebraska: median $1,492 across 12 hospitalsNE$1,492Missouri: median $3,279 across 30 hospitalsMO$3,279Kentucky: median $13,530 across 18 hospitalsKY$13,530West Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,923 across 25 hospitalsVA$2,923Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $836 across 18 hospitalsAZ$836New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $2,756 across 11 hospitalsAR$2,756Tennessee: median $1,280 across 13 hospitalsTN$1,280North Carolina: median $2,776 across 34 hospitalsNC$2,776South Carolina: median $4,389 across 12 hospitalsSC$4,389Oklahoma: median $1,938 across 19 hospitalsOK$1,938Louisiana: median $2,227 across 17 hospitalsLA$2,227Mississippi: median $1,523 across 10 hospitalsMS$1,523Alabama: median $3,471 across 15 hospitalsAL$3,471Georgia: median $4,208 across 47 hospitalsGA$4,208Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,068 across 84 hospitalsTX$5,068Florida: median $3,412 across 57 hospitalsFL$3,412
Cash price by state, most expensive first. National median $3,485. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY18$13,530+288%$2,361 – $13,849
Texas TX84$5,068+45%$2,610 – $7,915
Ohio OH72$4,827+38%$2,705 – $10,312
New Jersey NJ47$4,636+33%$3,818 – $7,549
South Carolina SC12$4,389+26%$3,846 – $4,469
California CA95$4,263+22%$2,645 – $7,554
Georgia GA47$4,208+21%$1,698 – $4,820
New York NY51$4,081+17%$1,308 – $5,612
Pennsylvania PA57$3,948+13%$2,332 – $6,208
Oregon OR24$3,858+11%$499 – $8,550
Connecticut CT10$3,5010%$3,086 – $7,450
Wisconsin WI31$3,4850%$2,075 – $3,633
Alabama AL15$3,4710%$442 – $6,883
Florida FL57$3,412−2%$1,980 – $6,623
Missouri MO30$3,279−6%$1,997 – $4,778
Massachusetts MA20$3,044−13%$1,644 – $4,995
Virginia VA25$2,923−16%$1,510 – $3,737
Illinois IL61$2,850−18%$1,114 – $3,883
North Carolina NC34$2,776−20%$1,150 – $3,119
Colorado CO27$2,769−21%$2,219 – $6,451
Arkansas AR11$2,756−21%$256 – $2,988
Washington WA32$2,473−29%$1,511 – $6,201
Louisiana LA17$2,227−36%$1,409 – $3,995
Iowa IA20$2,204−37%$383 – $3,683
Oklahoma OK19$1,938−44%$1,563 – $4,104
Minnesota MN10$1,869−46%$367 – $6,254
Indiana IN40$1,817−48%$1,049 – $3,711
Michigan MI44$1,741−50%$182 – $4,847
Mississippi MS10$1,523−56%$1,098 – $2,000
Nebraska NE12$1,492−57%$300 – $2,815
Tennessee TN13$1,280−63%$913 – $4,407
Arizona AZ18$836−76%$717 – $3,099
Kansas KS9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Utah UT1not 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 $3,485.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,045$3,532$1,809 – $6,623
Children’s21$2,336$1,063 – $6,291
Critical access72$2,511$348 – $4,793
Ownership
For-profit122$3,846$1,779 – $8,773
Government137$2,871$1,510 – $4,929
Non-profit879$3,485$1,698 – $6,440
System affiliation
Part of a system998$3,603$1,698 – $6,858
Independent146$2,662$1,114 – $5,649

Cash price vs list price

Median list price (chargemaster)$6,051
Median cash price$3,485
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

846 hospitals filed a usable inpatient cash price for this code. The median is $3,412 and the average of the middle 60% is $3,601; most fall between $1,698 and $7,185.

Cash price percentiles, inpatient, across 846 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
$901$1,975$3,412$6,101$8,967

The most expensive tenth of hospitals charges at least 10.0× what the cheapest tenth charges ($901 vs $8,967).

Of the 934 hospitals that filed this code inpatient, 846 gave a usable cash price; 45 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,144 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,257 hospitals that filed this code at all gave us
Usable cash price — counted1,144
Cash price carrying a plausibility flag — shown on the compare tool, excluded here71
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 — excluded40
Hospitals that filed this code1,257

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 Perq Dilation Xst Trc Endourologic Px W/Img.

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, “Widening of an existing kidney tract for a scope procedure (CPT 50436) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50436-widening-of-an-existing-kidney-tract-for-a-scope-procedure