Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Harrisburg, PA

In Harrisburg-Carlisle, PA, 3 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $5,355.66 to $7,427.08, with a median of $7,054.94. The lowest listed price is at Penn State Health Holy Spirit Medical Center — $1,699.28 less than the median here. Across Pennsylvania, the median is $6,655.20 at 20 hospitals.

Cash prices at 3 facilities across 3 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 — and —.

Lowest$5,355.66Penn State Health Holy Spirit Medical Center
Median$7,054.94half pay less
Highest$7,427.08in this market
Difference1.4×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 Harrisburg-Carlisle, PA.

median
Lowest $5,355.66Highest $7,427.08

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Penn State Health Holy Spirit Medical Center lowest Camp Hill, PA · (717) 763-2100 50590 FRAGMENTING OF KIDNEY STONE Tech $5,355.66 $22,418.00 $892.40–$17,934.40 76% —
source file
Penn State Health Hampden Medical Center Enola, PA · (717) 981-9000 50590 FRAGMENTING OF KIDNEY STONE Tech $7,054.94 $22,418.00 $2,928.34–$17,934.40 69% —
source file
Penn State Health Milton S. Hershey Medical Center Hershey, PA · (717) 531-8521 50590 Lithotripsy Ex-Corp Schock Wave $7,427.08 $22,418.00 $3,177.76–$20,104.75 67% —
source file

Outpatient: lowest $5,355.66, median $7,054.94, highest $7,427.08 — a 1.4× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $7,054.94. 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 3 of 3 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.