Surgery and procedures CPT 50590 Inpatient — admitted to hospital

Shock wave lithotripsy cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 13 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) as an inpatient: from $1,315.00 to $17,691.79, with a median of $6,655.20. The lowest listed price is at St Mary Medical Center and 1 other hospital — $5,340.20 less than the median here. Across Pennsylvania, the median is $6,655.20 at 20 hospitals.

Cash prices at 13 facilities across 13 cities for code 50590, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Apr 1, 2026.

Lowest$1,315.00St Mary Medical Center + 1 more
Median$6,655.20half pay less
Highest$17,691.79in this market
Difference13.5×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $1,315.00Highest $17,691.79

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Mary Medical Center lowest Langhorne, PA · (215) 750-2003 PR Lithotripsy Extracorporeal Shock Wave $1,315.00 $1,315.00 $124.75–$1,249.25 — Mar 31, 2026
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Mercy Fitzgerald Hospital lowest Darby, PA · (215) 237-4000 PR Lithotripsy Extracorporeal Shock Wave $1,315.00 $1,315.00 $124.75–$1,249.25 — Mar 31, 2026
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St Mary Medical Center one side Langhorne, PA · (215) 750-2003 HC Lithotripsy Eswl Rt $6,221.15 $9,571.00 $286.93–$12,884.00 35% Mar 31, 2026
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Nazareth Hospital one side Philadelphia, PA · (215) 335-6000 HC Lithotripsy Eswl Lt $6,221.15 $9,571.00 $361.78–$10,275.53 35% Mar 31, 2026
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Nazareth Hospital one side Philadelphia, PA · (215) 335-6000 HC Lithotripsy Eswl Rt $6,221.15 $9,571.00 $361.78–$10,275.53 35% Mar 31, 2026
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Mercy Fitzgerald Hospital one side Darby, PA · (215) 237-4000 HC Lithotripsy Eswl Rt $6,221.15 $9,571.00 $336.83–$13,941.25 35% Mar 31, 2026
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Mercy Fitzgerald Hospital one side Darby, PA · (215) 237-4000 HC Lithotripsy Eswl Lt $6,221.15 $9,571.00 $336.83–$13,941.25 35% Mar 31, 2026
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St Mary Medical Center one side Langhorne, PA · (215) 750-2003 HC Lithotripsy Eswl Lt $6,221.15 $9,571.00 $286.93–$12,884.00 35% Mar 31, 2026
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Paoli Hospital Paoli, PA · (610) 648-1000 Hc Lithotripsy $6,655.20 $16,638.00 — 60% Apr 1, 2026
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Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Lithotripsy $6,655.20 $16,638.00 — 60% Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Lithotripsy $6,655.20 $16,638.00 — 60% —
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Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Lithotripsy $6,655.20 $16,638.00 — 60% —
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Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Lithotripsy $6,655.20 $16,638.00 — 60% Apr 1, 2026
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St. Francis Hospital one side Wilmington, DE · (302) 421-4100 HC Lithotripsy Eswl Lt $7,388.55 $11,367.00 $2,608.09–$39,565.50 35% Mar 31, 2026
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St. Francis Hospital one side Wilmington, DE · (302) 421-4100 HC Lithotripsy Eswl Rt $7,388.55 $11,367.00 $2,608.09–$39,565.50 35% Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Lithotripsy Eswl Bl $9,331.40 $14,356.00 $361.78–$14,068.88 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Lithotripsy Eswl Bl $9,332.05 $14,357.00 $336.83–$14,357.00 35% Mar 31, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Lithotripsy Eswl Bl $9,332.05 $14,357.00 $286.93–$13,639.15 35% Mar 31, 2026
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St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Lithotripsy Eswl Bl $11,083.15 $17,051.00 $2,608.09–$39,565.50 35% Mar 31, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 EX. SHOCK WAVE LITHOTRIPSY $17,691.79 $17,691.79 — — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ EX. SHOCK WAVE LITHOTRIPSY $17,691.79 $17,691.79 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ EX. SHOCK WAVE LITHOTRIPSY $17,691.79 $17,691.79 — — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ EX. SHOCK WAVE LITHOTRIPSY $17,691.79 $17,691.79 — — Mar 24, 2026
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Inpatient: lowest $1,315.00, median $6,655.20, highest $17,691.79 — a 13.5× difference within the same market.

As an outpatient, the same code is billed by 19 facilities here, median $6,655.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 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.