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8 vs 75.1, p=0.48). Mean operative time was 32.7 minutes longer (p=0.002) and estimated blood loss 145ml higher (p=0.007) for the RARN cohort. There was no difference in mean length of stay. Major and all 90-day complication rates were no different. RARN mean procedural cost was higher by $464 when controlling for operative time (p less then 0.001). Fixed costs were not statistically different. RARN variable costs were estimated to be $2,310 higher (p=0.045). Conclusion Even with cost-conscious experienced renal surgeons, RARN is associated with a