Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Huntington, WV

In Huntington-Ashland, WV-KY-OH, 2 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $3,913.49 to $7,165.14, with a median of $5,539.32. The lowest listed price is at Cabell Huntington Hospital — $1,625.83 less than the median here. Across West Virginia, the median is $772.25 at 10 hospitals.

Cash prices at 2 facilities across 2 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 Oct 14, 2025 and Oct 14, 2025.

Lowest$3,913.49Cabell Huntington Hospital
Median$5,539.32half pay less
Highest$7,165.14in this market
Difference1.8×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 Huntington-Ashland, WV-KY-OH.

median
Lowest $3,913.49Highest $35,781.28
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Cabell Huntington Hospital lowest Huntington, WV · (304) 526-2000 50590 Lithotripsy, extracorporeal shock wave $3,913.49 $3,913.49 $3,280.29–$3,913.49 — —
source file
King's Daughters' Medical Center one side Ashland, KY · (606) 408-4401 HCHG LITHOTRIPSY RIGHT $7,165.14 $17,912.84 $2,388.22–$16,121.56 60% Oct 14, 2025
source file
King's Daughters' Medical Center one side Ashland, KY · (606) 408-4401 HCHG LITHOTRIPSY LEFT $7,165.14 $17,912.84 $2,388.22–$16,121.56 60% Oct 14, 2025
source file
Cabell Huntington Hospital one side Huntington, WV · (304) 526-2000 FRAGMENTING OF KIDNEY STONE; UNILATERAL $35,781.28 $35,781.28 $29,991.87–$35,781.28 — —
source file
King's Daughters' Medical Center both sides Ashland, KY · (606) 408-4401 HCHG LITHOTRIPSY BILATERAL $15,285.68 $38,214.20 $2,388.22–$34,392.78 60% Oct 14, 2025
source file

Outpatient: lowest $3,913.49, median $5,539.32, highest $7,165.14 — a 1.8× difference within the same market.

Both sides : lowest $15,285.68, median $15,285.68, highest $15,285.68.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 2 facilities here, median $5,539.32. 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 1 of 2 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.