Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 10 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $750.14 to $7,496.16, with a median of $2,323.20. The lowest listed price is at Henry Ford Macomb Hospital and 3 other hospitals — $1,573.06 less than the median here. Across Michigan, the median is $2,323.20 at 23 hospitals.

Cash prices at 10 facilities across 9 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 Dec 31, 2025 and Jun 28, 2026.

Lowest$750.14Henry Ford Macomb Hospital + 3 more
Median$2,323.20half pay less
Highest$7,496.16in this market
Difference10.0×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 Detroit-Warren-Dearborn, MI.

median
Lowest $750.14Highest $9,245.23

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Henry Ford Macomb Hospital lowest Clinton Twp, MI · (586) 263-2300 PR FRAGMENT KIDNEY STONE/ ESWL $750.14 $1,850.00 $332.28–$1,302.43 59% Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital lowest West Bloomfield, MI · (248) 325-1000 PR FRAGMENT KIDNEY STONE/ ESWL $750.14 $1,850.00 $332.28–$1,619.17 59% Jun 28, 2026
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Henry Ford Wyandotte Hospital lowest Wyandotte, MI PR FRAGMENT KIDNEY STONE/ ESWL $750.14 $1,850.00 $332.28–$1,302.43 59% Jun 28, 2026
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Henry Ford Health Hospital lowest Detroit, MI · (313) 916-2600 PR FRAGMENT KIDNEY STONE/ ESWL $750.14 $1,850.00 $332.28–$1,619.17 59% Jun 28, 2026
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 SP Lithotripsy, extracorporeal shock wave 50590 $2,323.20 $4,646.30 $367.43–$1,009.30 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 SP Lithotripsy, extracorporeal shock wave 50590 $2,323.20 $4,646.30 $367.43–$1,009.30 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 SP Lithotripsy, extracorporeal shock wave 50590 $2,323.20 $4,646.30 $367.43–$1,009.30 50% Dec 31, 2025
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McLaren Oakland Pontiac, MI · (248) 338-5000 SP Lithotripsy, extracorporeal shock wave 50590 $2,323.20 $4,646.30 $367.43–$1,009.30 50% Dec 31, 2025
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Henry Ford Wyandotte Hospital Wyandotte, MI FRAGMENTING OF KIDNEY STONE $4,846.99 — $536.58–$8,361.00 — Jun 28, 2026
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Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 FRAGMENTING OF KIDNEY STONE $4,846.99 — $536.58–$8,078.31 — Jun 28, 2026
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Henry Ford Health Hospital Detroit, MI · (313) 916-2600 FRAGMENTING OF KIDNEY STONE $4,846.99 — $1,357.93–$6,849.00 — Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 FRAGMENTING OF KIDNEY STONE $4,846.99 — $536.58–$8,078.31 — Jun 28, 2026
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Henry Ford Health Detroit, MI · (313) 343-4000 LITHOTRIPSY $5,951.68 $10,628.00 $1,543.88–$7,652.16 44% —
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Henry Ford Health Detroit, MI · (313) 343-4000 LITHOTRIPSY $5,951.68 $10,628.00 $1,543.88–$7,652.16 44% —
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McLaren Lapeer Region Lapeer, MI · (810) 667-5500 FRAGMENTING OF KIDNEY STONE $6,752.56 $13,505.12 $1,886.59–$5,381.94 50% Dec 31, 2025
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Henry Ford Health Warren, MI · (586) 573-5000 LITHOTRIPSY $7,496.16 $13,386.00 $1,543.88–$9,637.92 44% —
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Henry Ford Health Warren, MI · (586) 573-5000 LITHOTRIPSY $7,496.16 $13,386.00 $1,543.88–$9,637.92 44% —
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McLaren Oakland Pontiac, MI · (248) 338-5000 FRAGMENTING OF KIDNEY STONE $7,563.26 $15,126.51 $1,886.59–$5,381.94 50% Dec 31, 2025
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McLaren Macomb Mount Clemens, MI · (586) 493-8000 FRAGMENTING OF KIDNEY STONE $7,615.17 $15,230.34 $1,886.59–$5,689.91 50% Dec 31, 2025
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McLaren Port Huron Port Huron, MI · (810) 987-5000 FRAGMENTING OF KIDNEY STONE $9,245.23 $18,490.45 $1,886.59–$9,393.15 50% Dec 31, 2025
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Outpatient: lowest $750.14, median $2,323.20, highest $7,496.16 — a 10.0× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $6,723.92. 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 6 of 10 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.