Shock wave lithotripsy cost in Nashville, TN — inpatient
In Nashville-Davidson--Murfreesboro--Franklin, TN, 4 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) as an inpatient: from $853.76 to $6,590.42, with a median of $4,090.08. The lowest listed price is at Vanderbilt Wilson County Hospital — $3,236.32 less than the median here. Across Tennessee, the median is $2,641.36 at 16 hospitals.
Cash prices at 4 facilities across 4 cities for code 50590, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 1, 2025 and Oct 1, 2025.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Nashville-Davidson--Murfreesboro--Franklin, TN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Vanderbilt Wilson County Hospital lowest Lebanon, TN · (615) 444-2250 FRAGMENT KIDNEY STONE/ ESWL | $853.76 | $2,944.00 | $358.83–$2,944.00 | 71% | Oct 1, 2025 source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 FRAGMENT KIDNEY STONE/ ESWL | $1,589.76 | $2,944.00 | $358.83–$2,944.00 | 46% | Oct 1, 2025 source file |
| Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC LITHOTRIPSY EXTRACO SHOCK WAVE | $4,784.42 | $16,498.00 | $1,678.67–$16,498.00 | 71% | Oct 1, 2025 source file |
| Saint Thomas West Hospital one side Harding Pk Nashville, TN · (615) 222-2111 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 70% | — source file |
| Saint Thomas West Hospital one side Harding Pk Nashville, TN · (615) 222-2111 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 70% | — source file |
| Saint Thomas Rutherford Hospital one side Murfreesboro, TN · (615) 396-4100 LITHOTRIPSY (ESWL) RT | $6,590.42 | $21,968.05 | $3,613.00–$18,315.00 | 70% | — source file |
| Saint Thomas Rutherford Hospital one side Murfreesboro, TN · (615) 396-4100 LITHOTRIPSY (ESWL) LT | $6,590.42 | $21,968.05 | $3,613.00–$18,315.00 | 70% | — source file |
| Vanderbilt University Medical Center Nashville, TN · (615) 322-3454 HC LITHOTRIPSY EXTRACO SHOCK WAVE | $8,908.92 | $16,498.00 | $3,331.43–$16,498.00 | 46% | Oct 1, 2025 source file |
| Saint Thomas Rutherford Hospital both sides Murfreesboro, TN · (615) 396-4100 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $3,613.00–$18,315.00 | 70% | — source file |
| Saint Thomas West Hospital both sides Harding Pk Nashville, TN · (615) 222-2111 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $3,613.00–$18,315.00 | 70% | — source file |
Inpatient: lowest $853.76, median $4,090.08, highest $6,590.42 — a 7.7× difference within the same market.
Both sides : lowest $9,885.59, median $9,885.59, highest $9,885.59.
As an outpatient, the same code is billed by 4 facilities here, median $4,090.08 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 4 of 4 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.