Shock wave lithotripsy cost in San Juan, PR
In San Juan-Bayamón-Caguas, PR, 2 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $3,500.00 to $3,500.00, with a median of $3,500.00. The lowest listed price is at Doctors' Center Hospital - Bayamon and 1 other hospital. Across Puerto Rico, the median is $3,500.00 at 3 hospitals.
Cash prices at 2 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 —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Juan-Bayamón-Caguas, PR.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Doctors' Center Hospital - Bayamon lowest Bayamon, PR · (787) 622-5420 Lithotripsy Extracorporeal Sho | $3,500.00 | $3,500.00 | $2,161.00–$4,050.00 | — | — source file |
| Doctors' Center Hospital - San Juan lowest Santurce, PR · (787) 723-2950 Lithotripsy Extracorporeal Sho | $3,500.00 | $3,500.00 | $2,161.00–$6,000.00 | — | — source file |
Outpatient: lowest $3,500.00, median $3,500.00, highest $3,500.00.
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 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.
1 row held back from this comparison
It is priced below $1 or below a tenth of the national median for code 50590 ($5,898.66). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Doctors' Center Hospital - Bayamon Bayamon, PRLithotripsy Extracorporeal Shock Wave | $300.00 | file |