Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Dallas, TX

In Dallas-Fort Worth-Arlington, TX, 35 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $2,732.25 to $27,956.29, with a median of $18,406.05. The lowest listed price is at The University of Texas Southwestern Medical Center at Dallas — $15,673.80 less than the median here. Across Texas, the median is $11,416.02 at 69 hospitals.

Cash prices at 35 facilities across 21 cities for code 50590, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 10, 2026 and Jun 29, 2026.

Lowest$2,732.25The University of Texas Southwestern Medical Center at Dallas
Median$18,406.05half pay less
Highest$27,956.29in this market
Difference10.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Dallas-Fort Worth-Arlington, TX.

median
Lowest $2,732.25Highest $27,956.29

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The University of Texas Southwestern Medical Center at Dallas lowest Dallas, TX · (214) 633-5555 LITHOTRIPSY XTRCORP SHOCK WAVE $2,732.25 $3,643.00 $450.94–$4,045.86 25% Mar 10, 2026
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Baylor Scott & White The Heart Hospital - McKinney McKinney, TX HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,222.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor University Medical Center Dallas, TX · (214) 820-8082 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $2,820.00–$10,982.00 40% Jun 29, 2026
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Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON) $3,600.00 $6,000.00 $1,142.90–$14,478.00 40% Jun 29, 2026
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Baylor Scott & White The Heart Hospital - McKinney McKinney, TX HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,222.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor University Medical Center Dallas, TX · (214) 820-8082 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $3,363.99–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE $13,091.90 $21,819.84 $1,142.90–$16,364.88 40% Jun 29, 2026
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Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 LITHOTRIPSY 50590 $13,569.60 $22,616.00 $3,176.11–$12,028.00 40% Apr 1, 2026
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Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX · (972) 419-1530 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital Southlake Southlake, TX · (817) 748-8700 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Kaufman Kaufman, TX · (972) 932-7200 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Hospital Frisco Frisco, TX · (469) 495-2000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Physicians Medical Center Plano, TX LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Presbyterian Hospital Rockwall Rockwall, TX · (469) 698-1000 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Harris Methodist Hospital Alliance Fort Worth, TX · (682) 212-2004 LITHOTRIPSY $18,406.05 $30,676.75 $1,142.90–$28,866.82 40% Apr 21, 2026
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Texas Health Huguley Hospital Fort Worth South Burleson, TX HC FRAGMENT KIDNEY STONE/ ESWL $27,956.29 $27,956.29 — — Apr 1, 2026
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Texas Health Hospital Mansfield Mansfield, TX · (682) 341-5000 HC FRAGMENT KIDNEY STONE/ ESWL $27,956.29 $27,956.29 — — Apr 1, 2026
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Outpatient: lowest $2,732.25, median $18,406.05, highest $27,956.29 — a 10.2× difference within the same market.

As an inpatient, the same code is billed by 35 facilities here, median $18,406.05. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 32 of 33 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

Shock-wave lithotripsy breaks kidney or ureter stones into small pieces with sound waves aimed from outside the body, so the pieces can pass in the urine. No cut is made, and it is usually done under sedation or anesthesia.

What the price covers

The listed price usually covers the lithotripsy treatment in the facility. The urologist, anesthesia, X-rays and any stent placement are often billed separately; some hospitals rent the machine from an outside company, which can change how the charge is listed.