Surgery and procedures CPT 50590 Inpatient — admitted to hospital

Shock wave lithotripsy cost in Louisville, KY — inpatient

In Louisville/Jefferson County, KY-IN, 2 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) as an inpatient: from $2,389.80 to $4,076.80, with a median of $3,233.30. The lowest listed price is at Norton Clark Hospital — $843.50 less than the median here. Across Kentucky, the median is $5,620.97 at 6 hospitals.

Cash prices at 2 facilities across 2 cities for code 50590, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 11, 2026 and Jun 3, 2026.

Lowest$2,389.80Norton Clark Hospital
Median$3,233.30half pay less
Highest$4,076.80in this market
Difference1.7×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 Louisville/Jefferson County, KY-IN.

median
Lowest $2,389.80Highest $4,779.60
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Norton Clark Hospital one side lowest Jeffersonville, IN · (812) 283-2147 HB LITHO RENAL ESWL RT $2,389.80 $17,070.00 $7,343.51–$14,936.25 86% Jun 3, 2026
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Norton Clark Hospital one side lowest Jeffersonville, IN · (812) 283-2147 HB LITHO RENAL ESWL LT $2,389.80 $17,070.00 $7,343.51–$14,936.25 86% Jun 3, 2026
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Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
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Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
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Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 13, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 13, 2026
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Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 13, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$17,326.40 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$17,326.40 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$17,326.40 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
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Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL LT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL BIL $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Hospitals one side Louisville, KY · (502) 629-8000 HB LITHO RENAL ESWL RT $4,076.80 $20,384.00 $3,363.36–$18,794.05 80% Feb 11, 2026
source file
Norton Clark Hospital Jeffersonville, IN · (812) 283-2147 HB LITHO RENAL ESWL BIL $4,779.60 $34,140.00 $14,687.03–$29,872.50 86% Jun 3, 2026
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Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$13,179.99 80% Feb 11, 2026
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Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$12,150.75 80% Feb 11, 2026
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Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$13,179.99 80% Feb 11, 2026
source file
Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$13,179.99 80% Feb 11, 2026
source file
Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$13,179.99 80% Feb 13, 2026
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Norton Hospitals both sides Louisville, KY · (502) 629-8000 HB LITH RENAL ESWL BI $2,859.00 $14,295.00 $2,358.68–$13,179.99 80% Feb 11, 2026
source file
Norton Clark Hospital both sides Jeffersonville, IN · (812) 283-2147 HB LITH RENAL ESWL BI $4,779.60 $34,140.00 $14,687.03–$29,872.50 86% Jun 3, 2026
source file

Inpatient: lowest $2,389.80, median $3,233.30, highest $4,076.80 — a 1.7× difference within the same market.

Both sides : lowest $2,859.00, median $3,819.30, highest $4,779.60 — a 1.7× difference within the same market.

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 outpatient, the same code is billed by 2 facilities here, median $3,233.30 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 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 1 it is 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.