Surgery and procedures CPT 50590 Inpatient — admitted to hospital

Shock wave lithotripsy cost in Omaha, NE — inpatient

In Omaha, NE-IA, 2 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) as an inpatient: from $1,125.90 to $1,590.84, with a median of $1,358.37. The lowest listed price is at Jennie Edmundson Memorial Hospital — $232.47 less than the median here. Across Nebraska, the median is $2,678.13 at 5 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 14, 2026 and Feb 15, 2026.

Lowest$1,125.90Jennie Edmundson Memorial Hospital
Median$1,358.37half pay less
Highest$1,590.84in 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 Omaha, NE-IA.

median
Lowest $1,125.90Highest $4,318.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Jennie Edmundson Memorial Hospital lowest Council Bluffs, IA · (712) 396-6000 LITHOTRIPSY XTRCORP SHOCK WAVE $1,125.90 $3,753.00 — 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 LITHOTRIPSY XTRCORP SHOCK WAVE $1,590.84 $4,419.00 $2,209.50 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 LITHOTRIPSY XTRCORP SHOCK WAVE $1,590.84 $4,419.00 $2,209.50 64% Feb 14, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Lithotripsy $3,598.50 $11,995.00 — 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Lithotripsy $4,318.20 $11,995.00 $5,997.50 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Lithotripsy $4,318.20 $11,995.00 $5,997.50 64% Feb 14, 2026
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Inpatient: lowest $1,125.90, median $1,358.37, highest $1,590.84 — a 1.4× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $2,134.49 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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.