Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Portland, OR

In Portland-Vancouver-Hillsboro, OR-WA, 6 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $1,130.35 to $18,461.08, with a median of $1,130.35. The lowest listed price is at Legacy Meridian Park Medical Center and 3 other hospitals. Across Oregon, the median is $1,130.35 at 6 hospitals.

Cash prices at 6 facilities across 4 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$1,130.35Legacy Meridian Park Medical Center + 3 more
Median$1,130.35half pay less
Highest$18,461.08in this market
Difference16.3×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 Portland-Vancouver-Hillsboro, OR-WA.

median
Lowest $1,130.35Highest $18,461.08

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 HC PHZ LITHOTRIPSY XTRCORP SHOCK WAVE $1,130.35 $1,739.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 PR LITHOTRIPSY XTRCORP SHOCK WAVE $1,346.80 $2,072.00 — 35% Apr 1, 2026
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PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 SHOCK WAVE CRUSHING OF KIDNEY STONES $18,461.08 $28,401.66 $1,563.52–$12,682.07 35% —
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Outpatient: lowest $1,130.35, median $1,130.35, highest $18,461.08 — a 16.3× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $1,130.35. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.