Surgery and procedures CPT 50590 Outpatient

Shock wave lithotripsy cost in Rochester, NY

In Rochester, NY, 6 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $4,184.10 to $11,985.71, with a median of $8,806.38. The lowest listed price is at Highland Hospital and 1 other hospital — $4,622.28 less than the median here. Across New York, the median is $4,081.37 at 33 hospitals.

Cash prices at 6 facilities across 3 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$4,184.10Highland Hospital + 1 more
Median$8,806.38half pay less
Highest$11,985.71in this market
Difference2.9×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 Rochester, NY.

median
Lowest $4,184.10Highest $11,985.71

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Highland Hospital lowest Rochester, NY · (585) 341-6711 Fragmenting of kidney stone $4,184.10 — $4,175.45–$7,472.83 — —
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Strong Memorial Hospital lowest Rochester, NY · (585) 275-2121 Fragmenting of kidney stone $4,184.10 — $4,284.93–$8,716.01 — —
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC LITHOTRIPSY_ EXTRACORPOREAL SHOCK WAVE $8,493.19 $10,616.49 — 20% Apr 1, 2026
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Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC LITHOTRIPSY_ EXTRACORPOREAL SHOCK WAVE $9,119.56 $14,030.09 — 35% Apr 1, 2026
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC LITHOTRIPSY_ EXTRACORPOREAL SHOCK WAVE $11,985.71 $18,439.55 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC LITHOTRIPSY_ EXTRACORPOREAL SHOCK WAVE $11,985.71 $18,439.55 — 35% Apr 1, 2026
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Outpatient: lowest $4,184.10, median $8,806.38, highest $11,985.71 — a 2.9× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $10,552.64. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.