Removal of ureter or kidney pelvis tumor via scope at Rush Medical Foundation

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR CYSTO/URETERO/PYELOSCOPY,W/RESECT TUMOR

Quitman, MS

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Pricing by billing methodology

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How this price compares nationally

Rush Medical Foundation’s median price of $538 is 90% below the median hospital's median price ($5.2k), higher than 7% of the 1,620 hospitals reporting CPT 52355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 52355 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana all payor fee schedule · outpatient	$384	$384	$38	10%	—	$345 – $422
2	Cigna Healthspring all payor fee schedule · outpatient	$422	$422	—	—	—	$422 – $422
3	Optum all payor fee schedule · outpatient	$422	$422	—	—	—	$422 – $422
4	WellCare all payor fee schedule · outpatient	$422	$422	—	—	—	$422 – $422
5	Molina all payor fee schedule · outpatient	$424	$424	$2	0%	—	$422 – $426
6	Ambetter all payor fee schedule · outpatient	$591	$591	—	—	—	$591 – $591
7	Cigna all payor fee schedule · outpatient	$801	$801	—	—	—	$801 – $801
8	Bcbs Ms all payor fee schedule · outpatient	$915	$915	$241	26%	—	$674 – $1.2k
9	UnitedHealthcare all payor fee schedule · outpatient	$1.2k	$947	$371	39%	—	$422 – $1.2k
10	Aetna all payor fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
11	MultiPlan all payor fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Apr 1, 2026

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