Surgery and procedures CPT 50590 Inpatient — admitted to hospital

Shock wave lithotripsy cost in Smithville, TN — inpatient

In Smithville, TN, 1 hospital lists a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) (one side of the body) as an inpatient: from $6,590.39 to $6,590.39, with a median of $6,590.39. Across Tennessee, the median is $2,641.36 at 16 hospitals.

Cash prices at 1 facility for code 50590, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$6,590.39DeKalb Community Hospital
Median$6,590.39half pay less
Highest$6,590.39in 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 Smithville, TN.

median
Lowest $6,590.39Highest $9,885.59
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
DeKalb Community Hospital one side lowest Smithville, TN · (615) 215-5000 LITHOTRIPSY (ESWL) RT $6,590.39 $21,967.95 $1,556.88–$18,315.00 70% —
source file
DeKalb Community Hospital one side lowest Smithville, TN · (615) 215-5000 LITHOTRIPSY (ESWL) LT $6,590.39 $21,967.95 $1,556.88–$18,315.00 70% —
source file
DeKalb Community Hospital both sides Smithville, TN · (615) 215-5000 LITHOTRIPSY (ESWL) BILATERAL $9,885.59 $32,951.95 $1,556.88–$18,315.00 70% —
source file

One side of the body : lowest $6,590.39, median $6,590.39, highest $6,590.39.

Both sides : lowest $9,885.59, median $9,885.59, highest $9,885.59.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an outpatient, the same code is billed by 1 facility here, median $6,590.39 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is 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.