Shock wave lithotripsy cost in Spearfish, SD
In Spearfish, SD, 2 hospitals list a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $12,732.80 to $12,732.80, with a median of $12,732.80. The lowest listed price is at Monument Health Lead-Deadwood Hospital and 1 other hospital. Across South Dakota, the median is $12,732.80 at 7 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 Sep 1, 2026 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Spearfish, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Lead-Deadwood Hospital lowest Deadwood, SD · (605) 717-6000 Shock wave crushing of kidney stones | $12,732.80 | $15,916.00 | $4,615.64–$15,916.00 | 20% | Sep 1, 2026 source file |
| Monument Health Spearfish Hospital lowest Spearfish, SD · (605) 644-4000 Shock wave crushing of kidney stones | $12,732.80 | $15,916.00 | $3,857.02–$16,313.90 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $12,732.80, median $12,732.80, highest $12,732.80.
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.