Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Roanoke, VA

In Roanoke, VA, 4 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) (one side of the body): from $8,793.75 to $8,793.75, with a median of $8,793.75. The lowest listed price is at Carilion Franklin Memorial Hospital and 3 other hospitals. Across Virginia, the median is $8,793.75 at 10 hospitals.

Cash prices at 4 facilities across 2 cities for code 50590, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$8,793.75Carilion Franklin Memorial Hospital + 3 more
Median$8,793.75half pay less
Highest$8,793.75in this market
Difference1.0×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 Roanoke, VA.

median
Lowest $8,793.75Highest $8,793.75

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carilion Franklin Memorial Hospital one side lowest Rocky Mt, VA HB ESWL UNILATERAL RT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side lowest Roanoke, VA HB ESWL UNILATERAL LT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side lowest Roanoke, VA HB ESWL UNILATERAL RT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side lowest Roanoke, VA HB ESWL UNILATERAL LT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side lowest Roanoke, VA HB ESWL UNILATERAL RT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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Carilion Giles Community Hospital one side lowest Roanoke, VA HB ESWL UNILATERAL RT $8,793.75 $25,125.00 $664.20–$23,868.75 65% —
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One side of the body : lowest $8,793.75, median $8,793.75, highest $8,793.75.

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.