Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (CPT 50391)
50391 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
36 of 309 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Lee Memorial Hospital | Fort Myers, FL | $112.20 | $561 | $260.91 | 0.4× |
| Gulf Coast Medical Center | Fort Myers, FL | $112.20 | $561 | $260.91 | 0.4× |
| Cape Coral Hospital | Cape Coral, FL | $112.20 | $561 | $260.91 | 0.4× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $154 | $308 | $260.91 | 0.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $184.50 | $205 | $263.56 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $244.13 | — | $260.91 | 0.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $413.35 | $1,181 | $263.56 | 1.6× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $438.96 | $708 | $260.91 | 1.7× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $438.96 | $708 | $260.91 | 1.7× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $438.96 | $708 | $260.91 | 1.7× |
| St. John's Medical Center | Jackson, WY | $459 | $459 | $255.26 | 1.8× |
| UF Health Leesburg Hospital | Leesburg, FL | $490.05 | $891 | $260.91 | 1.9× |
| Flagler Hospital | Saint Augustine, FL | $490.05 | $891 | $260.91 | 1.9× |
| UF Health Shands Hospital | Gainesville, FL | $490.05 | $891 | $260.91 | 1.9× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $490.05 | $891 | $260.91 | 1.9× |
| MedStar Washington Hospital Center | Washington, DC | $526.17 | $809.49 | $266.03 | 2.0× |
| Tampa General Hospital | Tampa, FL | $557.90 | $1,594 | $260.91 | 2.1× |
| Bethesda Hospital East | Boynton Beach, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| Baptist Hospital of Miami | Miami, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| Homestead Hospital | Homestead, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| South Miami Hospital | South Miami, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| Doctors Hospital | Coral Gables, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| West Kendall Baptist Hospital | Miami, FL | $558.02 | $858.50 | $260.91 | 2.1× |
| Manatee Memorial Hospital | Bradenton, FL | $616 | $1,540 | $260.91 | 2.4× |
| Lakewood Ranch Medical Center | Bradenton, FL | $616 | $1,540 | $260.91 | 2.4× |
| Valley View Hospital | Glenwood Springs, CO | $623.90 | $734 | $263.56 | 2.4× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health South Lake Hospital | Clermont, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $688.40 | $1,721 | $260.91 | 2.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $755.39 | $1,258.98 | $250.99 | 3.0× |
| Halifax Health Medical Center | Daytona Beach, FL | $1,064 | $1,330 | $260.91 | 4.1× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $1,064 | $1,330 | $260.91 | 4.1× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.