Surgery and procedures CPT 50590 435 markets

Shock wave lithotripsy cost without insurance

The median hospital cash price for shock-wave lithotripsy to break up kidney stones (from outside the body) is $7,462.00 across 990 US hospitals; most list between $2,636.53 and $19,025.98. The lowest outpatient cash price in any of 435 markets is $137.70. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file

Lowest$137.70any market
Median market$8,773.00middle of market medians
Most below$19,025.989 in 10 hospitals
Listings985hospital prices

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for shock wave lithotripsy, the highest negotiated rate in a hospital's file has a median of $13,052.00 and the lowest a median of $1,726.38. At 669 of 817 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 50590?

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.

Why prices differ

Prices differ between hospitals and surgery centers, with anesthesia type, and depending on whether the equipment is owned or contracted.

What to ask

Ask whether the self-pay price for CPT 50590 includes the urologist, anesthesia and imaging, and whether a stent is expected.

Prices by state

Among 42 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($2,122.00), Maine ($2,582.98) and Arkansas ($3,088.28), and highest in Colorado ($31,898.40), Florida ($18,347.66) and Connecticut ($14,061.04).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Abilene, TX one side 2 $19,879.44 $19,879.44 $19,879.44 1.0×
Abilene, TX both sides 2 $19,879.44 $19,879.44 $19,879.44 1.0×
Ada, OK 1 $9,261.01 $9,261.01 $9,261.01 1.0×
Ahoskie, NC single city 1 $3,483.20 $3,483.20 $3,483.20 1.0×
Akron, OH 1 $9,827.25 $9,827.25 $9,827.25 1.0×
Albany-Schenectady-Troy, NY 1 $9,742.85 $9,742.85 $9,742.85 1.0×
Albemarle, NC 1 $2,641.00 $2,641.00 $2,641.00 1.0×
Albuquerque, NM 2 $1,192.46 $11,256.31 $21,320.15 17.9×
Alexandria, LA 1 $17,693.26 $17,693.26 $17,693.26 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $4,390.96 $4,390.96 $4,390.96 1.0×
Alliance, NE single city 1 $12,528.00 $12,528.00 $12,528.00 1.0×
Altus, OK 1 $9,054.60 $9,054.60 $9,054.60 1.0×
Anchorage, AK 2 $5,917.00 $7,798.25 $9,679.50 1.6×
Anderson Creek, NC 1 $5,992.80 $5,992.80 $5,992.80 1.0×
Ann Arbor, MI 2 $5,294.00 $6,105.41 $6,916.81 1.3×
Antigo, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Appleton, WI 2 $4,469.81 $4,469.81 $4,469.81 1.0×
Ardmore, OK 1 $11,278.68 $11,278.68 $11,278.68 1.0×
Asheboro, NC single city 1 $4,031.40 $4,031.40 $4,031.40 1.0×
Asheville, NC 1 $21,312.00 $21,312.00 $21,312.00 1.0×
Ashland, OH 1 $11,301.75 $11,301.75 $11,301.75 1.0×
Astoria, OR 1 $2,208.00 $2,208.00 $2,208.00 1.0×
Athens, TN 1 $11,697.64 $11,697.64 $11,697.64 1.0×
Athens-Clarke County, GA 2 $12,206.97 $14,382.86 $16,558.75 1.4×
Athens-Clarke County, GA both sides 1 $12,206.97 $12,206.97 $12,206.97 1.0×
Atlanta-Sandy Springs-Roswell, GA 31 $1,092.00 $12,206.97 $22,809.54 20.9×
Atlanta-Sandy Springs-Roswell, GA both sides 10 $12,206.97 $12,206.97 $12,206.97 1.0×
Atlantic City-Hammonton, NJ 1 $4,560.74 $4,560.74 $4,560.74 1.0×
Auburn-Opelika, AL 1 $3,471.05 $3,471.05 $3,471.05 1.0×
Augusta-Richmond County, GA-SC 4 $8,178.36 $9,411.57 $22,809.54 2.8×
Augusta-Richmond County, GA-SC both sides 2 $9,411.57 $9,411.57 $9,411.57 1.0×
Austin-Round Rock-San Marcos, TX 8 $3,008.97 $3,600.00 $3,600.00 1.2×
Bainbridge, GA 1 $10,395.00 $10,395.00 $10,395.00 1.0×
Baltimore-Columbia-Towson, MD 2 $3,491.66 $4,713.44 $5,935.21 1.7×
Bangor, ME 1 $7,286.61 $7,286.61 $7,286.61 1.0×
Baraboo, WI 1 $1,884.15 $1,884.15 $1,884.15 1.0×
Barre, VT 1 $27,576.36 $27,576.36 $27,576.36 1.0×
Batavia, NY 1 $13,606.63 $13,606.63 $13,606.63 1.0×
Baton Rouge, LA 2 $5,543.04 $8,634.60 $11,726.16 2.1×
Beaumont-Port Arthur, TX 6 $3,484.38 $11,416.02 $11,416.02 3.3×
Beckley, WV 2 $1,158.75 $6,915.78 $12,672.80 10.9×
Bellingham, WA 1 $24,221.60 $24,221.60 $24,221.60 1.0×
Berlin, NH single city 1 $5,817.42 $5,817.42 $5,817.42 1.0×
Berlin, WI single city 1 $4,469.81 $4,469.81 $4,469.81 1.0×
Birmingham, AL 1 $14,583.86 $14,583.86 $14,583.86 1.0×
Bismarck, ND 1 $5,783.00 $5,783.00 $5,783.00 1.0×
Blackfoot, ID 1 $6,941.90 $6,941.90 $6,941.90 1.0×
Blacksburg-Christiansburg-Radford, VA one side 1 $8,793.75 $8,793.75 $8,793.75 1.0×
Blue Ridge, GA single city 1 $14,940.91 $14,940.91 $14,940.91 1.0×
Bluefield, WV-VA 2 $8,793.75 $16,290.29 $23,786.82 2.7×
Boise City, ID 5 $8,773.00 $8,961.58 $11,742.00 1.3×
Boston-Cambridge-Newton, MA-NH 5 $3,497.21 $8,662.00 $14,452.40 4.1×
Boulder, CO 1 $31,898.40 $31,898.40 $31,898.40 1.0×
Bozeman, MT 2 $1,814.40 $2,416.80 $3,019.20 1.7×
Bradford, PA 1 $5,029.20 $5,029.20 $5,029.20 1.0×
Brenham, TX 1 $3,600.00 $3,600.00 $3,600.00 1.0×
Bridgeport, CT single city 1 $13,724.07 $13,724.07 $13,724.07 1.0×
Brookhaven, MS 1 $3,341.40 $3,341.40 $3,341.40 1.0×
Brownsville-Harlingen, TX 1 $3,523.00 $3,523.00 $3,523.00 1.0×
Brownwood, TX one side 1 $20,621.90 $20,621.90 $20,621.90 1.0×
Brownwood, TX both sides 1 $20,621.51 $20,621.51 $20,621.51 1.0×
Buffalo-Cheektowaga, NY 6 $1,541.40 $7,462.00 $7,462.00 4.8×
Burlington-South Burlington, VT 1 $17,048.00 $17,048.00 $17,048.00 1.0×
Calhoun, GA 1 $62,695.81 $62,695.81 $62,695.81 1.0×
Cambridge, NE single city 1 $9,550.80 $9,550.80 $9,550.80 1.0×
Canton-Massillon, OH 1 $10,312.25 $10,312.25 $10,312.25 1.0×
Cape Coral-Fort Myers, FL 4 $1,441.20 $1,441.20 $1,441.20 1.0×
Cape Girardeau, MO-IL 1 $28,655.54 $28,655.54 $28,655.54 1.0×
Carbondale, IL 2 $26,743.20 $26,743.20 $26,743.20 1.0×
Centerville, IA single city 1 $21,942.00 $21,942.00 $21,942.00 1.0×
Champaign-Urbana, IL 1 $5,576.00 $5,576.00 $5,576.00 1.0×
Charleston, WV 2 $4,708.00 $6,519.00 $8,330.00 1.8×
Charleston-Mattoon, IL 1 $11,763.36 $11,763.36 $11,763.36 1.0×
Charleston-North Charleston, SC 3 $3,056.50 $12,907.76 $13,152.81 4.3×
Charlotte-Concord-Gastonia, NC-SC 13 $2,641.00 $2,641.00 $27,206.00 10.3×
Chattanooga, TN-GA 3 $5,916.75 $5,916.75 $8,455.35 1.4×
Chicago-Naperville-Elgin, IL-IN 31 $705.60 $5,215.00 $24,417.75 34.6×
Chicago-Naperville-Elgin, IL-IN both sides 1 $34,984.32 $34,984.32 $34,984.32 1.0×
Chico, CA 1 $6,366.00 $6,366.00 $6,366.00 1.0×
Chico, CA both sides 1 $8,275.00 $8,275.00 $8,275.00 1.0×
Cincinnati, OH-KY-IN 1 $13,849.01 $13,849.01 $13,849.01 1.0×
Clarksville, TN-KY 1 $5,707.88 $5,707.88 $5,707.88 1.0×
Cleveland, OH 21 $7,543.50 $10,126.50 $10,883.94 1.4×
Clinton, IA one side 1 $12,172.06 $12,172.06 $12,172.06 1.0×
Clinton, MO single city 1 $3,335.43 $3,335.43 $3,335.43 1.0×
Coeur d'Alene, ID 1 $6,882.00 $6,882.00 $6,882.00 1.0×
College Station-Bryan, TX 4 $3,032.58 $3,264.57 $3,600.00 1.2×
Columbia, MO 1 $5,189.40 $5,189.40 $5,189.40 1.0×
Columbia, SC one side 1 $49,410.00 $49,410.00 $49,410.00 1.0×
Columbia, SC both sides 1 $53,843.00 $53,843.00 $53,843.00 1.0×
Columbus, GA-AL 2 $9,411.57 $9,411.57 $9,411.57 1.0×
Columbus, GA-AL both sides 2 $9,411.57 $9,411.57 $9,411.57 1.0×
Columbus, IN 1 $14,760.30 $14,760.30 $14,760.30 1.0×
Columbus, NC single city 1 $15,407.37 $15,407.37 $15,407.37 1.0×
Columbus, OH 5 $4,353.70 $4,353.70 $6,085.60 1.4×
Cookeville, TN one side 1 $6,590.39 $6,590.39 $6,590.39 1.0×
Cookeville, TN both sides 1 $9,885.59 $9,885.59 $9,885.59 1.0×
Corbin, KY 1 $16,177.74 $16,177.74 $16,177.74 1.0×
Corydon, IA single city 1 $10,541.00 $10,541.00 $10,541.00 1.0×
Coshocton, OH 1 $3,318.00 $3,318.00 $3,318.00 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $11,329.61 $11,329.61 $11,329.61 1.0×
Cuba, NY single city 1 $8,607.00 $8,607.00 $8,607.00 1.0×
Cuba, NY both sides single city 1 $12,910.00 $12,910.00 $12,910.00 1.0×
Dallas-Fort Worth-Arlington, TX 42 $3,523.00 $15,987.83 $27,956.29 7.9×
Daphne-Fairhope-Foley, AL 1 $16,438.71 $16,438.71 $16,438.71 1.0×
Davenport-Moline-Rock Island, IA-IL 3 $8,122.80 $9,382.20 $9,382.20 1.2×
Decatur, AL 3 $9,332.00 $9,332.00 $9,332.00 1.0×
Deckerville, MI single city 1 $1,336.08 $1,336.08 $1,336.08 1.0×
Decorah, IA single city 1 $9,498.30 $9,498.30 $9,498.30 1.0×
Defiance, OH one side 1 $11,997.96 $11,997.96 $11,997.96 1.0×
DeKalb, MS single city 1 $1,742.94 $1,742.94 $1,742.94 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 7 $22,308.00 $30,252.19 $36,427.82 1.6×
Deltona-Daytona Beach-Ormond Beach, FL both sides 2 $22,308.00 $22,308.00 $22,308.00 1.0×
Deming, NM 1 $10,707.79 $10,707.79 $10,707.79 1.0×
Denver-Aurora-Centennial, CO 4 $31,898.40 $31,898.40 $31,898.40 1.0×
Des Moines-West Des Moines, IA 3 $1,680.00 $13,713.00 $18,744.30 11.2×
Detroit-Warren-Dearborn, MI 10 $4,846.99 $6,575.27 $9,245.23 1.9×
Devils Lake, ND single city 1 $9,492.82 $9,492.82 $9,492.82 1.0×
Dothan, AL 2 $1,807.47 $8,790.27 $15,773.06 8.7×
Dover Foxcroft, ME single city 1 $2,412.96 $2,412.96 $2,412.96 1.0×
Duluth, MN-WI 1 $8,077.31 $8,077.31 $8,077.31 1.0×
Duncan, OK 1 $7,031.76 $7,031.76 $7,031.76 1.0×
Durango, CO 1 $22,194.00 $22,194.00 $22,194.00 1.0×
Durant, OK 1 $13,881.00 $13,881.00 $13,881.00 1.0×
Durham-Chapel Hill, NC 1 $4,669.92 $4,669.92 $4,669.92 1.0×
Eagle River, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Eau Claire, WI 2 $9,651.20 $12,385.55 $15,119.90 1.6×
Edenton, NC single city 1 $4,422.32 $4,422.32 $4,422.32 1.0×
Elizabethtown, NC single city 1 $5,992.80 $5,992.80 $5,992.80 1.0×
Elk City, OK 1 $21,057.80 $21,057.80 $21,057.80 1.0×
Elkhart-Goshen, IN 1 $14,728.89 $14,728.89 $14,728.89 1.0×
Ellsworth, ME single city 1 $1,808.75 $1,808.75 $1,808.75 1.0×
Eugene-Springfield, OR 2 $14,862.00 $20,040.35 $25,218.70 1.7×
Evanston, WY-UT 1 $2,657.40 $2,657.40 $2,657.40 1.0×
Fairbanks-College, AK 1 $24,478.92 $24,478.92 $24,478.92 1.0×
Fargo, ND-MN 1 $3,337.50 $3,337.50 $3,337.50 1.0×
Farmington, CT single city 1 $7,006.80 $7,006.80 $7,006.80 1.0×
Fayetteville, NC 3 $5,992.80 $5,992.80 $5,992.80 1.0×
Fayetteville-Springdale-Rogers, AR 2 $7,241.14 $7,480.76 $7,720.38 1.1×
Flint, MI 1 $6,282.62 $6,282.62 $6,282.62 1.0×
Florence, SC 1 $10,252.50 $10,252.50 $10,252.50 1.0×
Fond du Lac, WI 1 $4,469.81 $4,469.81 $4,469.81 1.0×
Forest City, NC 1 $14,359.50 $14,359.50 $14,359.50 1.0×
Fort Scott, KS single city 1 $10,885.35 $10,885.35 $10,885.35 1.0×
Fort Smith, AR-OK 3 $3,088.28 $8,772.82 $8,772.82 2.8×
Fort Wayne, IN 1 $26,899.14 $26,899.14 $26,899.14 1.0×
Freeport, IL 1 $4,624.80 $4,624.80 $4,624.80 1.0×
Fremont, NE 1 $2,518.96 $2,518.96 $2,518.96 1.0×
Fresno, CA 2 $12,353.44 $13,389.52 $14,425.60 1.2×
Gadsden, AL 2 $3,146.00 $8,948.65 $14,751.29 4.7×
Galax, VA single city 1 $11,377.30 $11,377.30 $11,377.30 1.0×
Glen Rose, TX single city 1 $10,865.00 $10,865.00 $10,865.00 1.0×
Granbury, TX 1 $12,067.66 $12,067.66 $12,067.66 1.0×
Grand Forks, ND-MN 1 $9,492.82 $9,492.82 $9,492.82 1.0×
Grand Junction, CO 1 $18,114.88 $18,114.88 $18,114.88 1.0×
Grand Rapids-Wyoming-Kentwood, MI 2 $810.50 $5,673.91 $10,537.31 13.0×
Grantsburg, WI single city 1 $5,033.60 $5,033.60 $5,033.60 1.0×
Great Falls, MT one side 1 $17,826.64 $17,826.64 $17,826.64 1.0×
Green Bay, WI 1 $2,576.60 $2,576.60 $2,576.60 1.0×
Greenfield, IA single city 1 $3,356.25 $3,356.25 $3,356.25 1.0×
Greensboro-High Point, NC 1 $3,638.00 $3,638.00 $3,638.00 1.0×
Greensburg, IN 1 $12,654.75 $12,654.75 $12,654.75 1.0×
Greenville, NC 1 $3,376.63 $3,376.63 $3,376.63 1.0×
Greenville-Anderson-Greer, SC one side 1 $10,759.72 $10,759.72 $10,759.72 1.0×
Greenwood, SC 2 $8,178.36 $8,859.89 $9,541.42 1.2×
Gulfport-Biloxi, MS one side 2 $10,879.00 $10,879.00 $10,879.00 1.0×
Hagerstown-Martinsburg, MD-WV 2 $4,382.19 $5,913.85 $7,445.50 1.7×
Hailey, ID 1 $8,773.00 $8,773.00 $8,773.00 1.0×
Hammond, LA 1 $4,204.33 $4,204.33 $4,204.33 1.0×
Harrisburg, IL single city 1 $26,743.20 $26,743.20 $26,743.20 1.0×
Harrisburg-Carlisle, PA 3 $5,355.66 $7,054.94 $7,427.08 1.4×
Hartford, CT single city 2 $7,136.25 $10,891.13 $14,646.00 2.1×
Hattiesburg, MS 1 $8,626.06 $8,626.06 $8,626.06 1.0×
Hays, KS one side 1 $4,674.45 $4,674.45 $4,674.45 1.0×
Helena, MT 1 $14,686.78 $14,686.78 $14,686.78 1.0×
Hickory-Lenoir-Morganton, NC 1 $14,347.62 $14,347.62 $14,347.62 1.0×
Hilo-Kailua, HI 1 $6,628.30 $6,628.30 $6,628.30 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $13,364.40 $13,364.40 $13,364.40 1.0×
Honesdale, PA single city 1 $6,245.40 $6,245.40 $6,245.40 1.0×
Houghton, MI 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Houma-Bayou Cane-Thibodaux, LA 4 $3,611.95 $6,267.09 $10,147.06 2.8×
Houston, MO one side single city 1 $6,286.00 $6,286.00 $6,286.00 1.0×
Houston-Pasadena-The Woodlands, TX 14 $2,829.96 $25,155.00 $28,513.50 10.1×
Huntington-Ashland, WV-KY-OH 3 $7,165.14 $26,719.88 $35,781.28 5.0×
Huntington-Ashland, WV-KY-OH both sides 1 $15,285.68 $15,285.68 $15,285.68 1.0×
Huntsville, AL 1 $15,761.79 $15,761.79 $15,761.79 1.0×
Huntsville, TX one side 1 $4,385.00 $4,385.00 $4,385.00 1.0×
Idaho Falls, ID 2 $11,252.75 $11,252.75 $11,252.75 1.0×
Imperial, NE single city 1 $11,624.00 $11,624.00 $11,624.00 1.0×
Iowa City, IA 3 $9,375.00 $10,299.80 $10,299.80 1.1×
Iron River, MI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Ironwood, MI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Jackson, KY single city 1 $34,521.04 $34,521.04 $34,521.04 1.0×
Jackson, MS 4 $3,000.00 $5,857.28 $10,457.46 3.5×
Jacksonville, FL 5 $18,347.66 $18,347.66 $18,347.66 1.0×
Jamestown-Dunkirk, NY 1 $8,607.00 $8,607.00 $8,607.00 1.0×
Jamestown-Dunkirk, NY both sides 1 $12,910.00 $12,910.00 $12,910.00 1.0×
Jefferson, IA single city 1 $4,803.12 $4,803.12 $4,803.12 1.0×
Johnson, AR single city 1 $13,458.03 $13,458.03 $13,458.03 1.0×
Johnstown, PA 1 $11,891.91 $11,891.91 $11,891.91 1.0×
Joplin, MO-KS 4 $10,885.35 $10,885.35 $11,855.69 1.1×
Joplin, MO-KS both sides 2 $16,328.02 $16,328.02 $16,328.02 1.0×
Kalispell, MT 1 $690.95 $690.95 $690.95 1.0×
Kankakee, IL 1 $931.70 $931.70 $931.70 1.0×
Kansas City, MO-KS 4 $3,320.00 $3,416.50 $4,380.00 1.3×
Kerrville, TX 1 $9,490.00 $9,490.00 $9,490.00 1.0×
Key West-Key Largo, FL 1 $10,857.09 $10,857.09 $10,857.09 1.0×
Killeen-Temple, TX 4 $3,600.00 $3,600.00 $27,828.54 7.7×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $4,400.18 $4,400.18 $4,400.18 1.0×
Klamath Falls, OR 1 $557.90 $557.90 $557.90 1.0×
Knoxville, TN 1 $11,570.17 $11,570.17 $11,570.17 1.0×
Kokomo, IN 1 $12,915.60 $12,915.60 $12,915.60 1.0×
Lafayette, LA 2 $984.50 $1,925.53 $2,866.56 2.9×
LaGrange, GA-AL 1 $22,809.54 $22,809.54 $22,809.54 1.0×
Lake Charles, LA 1 $9,994.48 $9,994.48 $9,994.48 1.0×
Lake Havasu City-Kingman, AZ 2 $10,659.60 $36,602.17 $62,544.73 5.9×
Lakeland-Winter Haven, FL 3 $5,707.20 $35,868.51 $37,661.94 6.6×
Lancaster, PA 1 $6,498.98 $6,498.98 $6,498.98 1.0×
Lansing-East Lansing, MI 4 $810.50 $2,293.75 $3,899.36 4.8×
Las Cruces, NM 1 $15,737.04 $15,737.04 $15,737.04 1.0×
Las Vegas-Henderson-North Las Vegas, NV 5 $1,991.10 $7,352.72 $12,406.42 6.2×
Laurel, MS 1 $10,569.00 $10,569.00 $10,569.00 1.0×
Laurinburg, NC 1 $11,927.50 $11,927.50 $11,927.50 1.0×
Lawrence, KS 1 $6,622.31 $6,622.31 $6,622.31 1.0×
Lawrenceburg, TN 1 $2,728.10 $2,728.10 $2,728.10 1.0×
Lebanon, KY single city 1 $6,407.06 $6,407.06 $6,407.06 1.0×
Lebanon-Claremont, NH-VT 1 $842.60 $842.60 $842.60 1.0×
Leesville, LA single city 1 $5,842.20 $5,842.20 $5,842.20 1.0×
Lewiston-Auburn, ME 1 $3,478.00 $3,478.00 $3,478.00 1.0×
Lexington, VA one side single city 1 $8,793.75 $8,793.75 $8,793.75 1.0×
Lexington-Fayette, KY 3 $551.67 $11,090.58 $17,437.96 31.6×
Lima, OH 2 $3,858.30 $10,013.58 $16,168.86 4.2×
Little Rock-North Little Rock-Conway, AR 5 $2,112.27 $3,079.34 $3,088.28 1.5×
Logan, UT-ID 1 $3,691.00 $3,691.00 $3,691.00 1.0×
Longview, TX 1 $18,093.72 $18,093.72 $18,093.72 1.0×
Longview-Kelso, WA one side 1 $35,109.75 $35,109.75 $35,109.75 1.0×
Los Angeles-Long Beach-Anaheim, CA 18 $2,092.23 $5,510.70 $6,510.40 3.1×
Louisville, KY single city 1 $4,076.80 $4,076.80 $4,076.80 1.0×
Louisville, KY both sides single city 1 $2,859.00 $2,859.00 $2,859.00 1.0×
Louisville/Jefferson County, KY-IN 6 $2,389.80 $4,076.80 $4,076.80 1.7×
Louisville/Jefferson County, KY-IN both sides 6 $2,859.00 $2,859.00 $4,779.60 1.7×
Lufkin, TX 1 $17,363.55 $17,363.55 $17,363.55 1.0×
Macon-Bibb County, GA 2 $12,206.97 $12,206.97 $12,206.97 1.0×
Macon-Bibb County, GA both sides 2 $12,206.97 $12,206.97 $12,206.97 1.0×
Madison, WI 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Madisonville, TX single city 1 $3,448.25 $3,448.25 $3,448.25 1.0×
Magnolia, AR 1 $3,088.28 $3,088.28 $3,088.28 1.0×
Malone, NY single city 1 $5,423.00 $5,423.00 $5,423.00 1.0×
Manchester, CT single city 1 $11,457.61 $11,457.61 $11,457.61 1.0×
Manchester, IA one side single city 1 $8,021.60 $8,021.60 $8,021.60 1.0×
Manhattan, KS 1 $4,742.50 $4,742.50 $4,742.50 1.0×
Marble Falls, TX single city 1 $3,600.00 $3,600.00 $3,600.00 1.0×
Marietta, OH 2 $11,390.76 $11,390.76 $11,390.76 1.0×
Marion-Herrin, IL 1 $26,743.20 $26,743.20 $26,743.20 1.0×
Martinsville, VA 1 $4,934.60 $4,934.60 $4,934.60 1.0×
Massena-Ogdensburg, NY 2 $6,582.15 $8,296.47 $10,010.79 1.5×
Mayagüez, PR 1 $1,750.00 $1,750.00 $1,750.00 1.0×
Mayfield, KY 1 $13,585.42 $13,585.42 $13,585.42 1.0×
McAllen-Edinburg-Mission, TX 1 $3,523.00 $3,523.00 $3,523.00 1.0×
McCall, ID single city 1 $8,773.00 $8,773.00 $8,773.00 1.0×
McComb, MS 1 $9,600.00 $9,600.00 $9,600.00 1.0×
McMinnville, TN one side 1 $6,590.39 $6,590.39 $6,590.39 1.0×
McMinnville, TN both sides 1 $9,885.59 $9,885.59 $9,885.59 1.0×
Medford, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Memphis, MO single city 1 $1,820.00 $1,820.00 $1,820.00 1.0×
Memphis, TN-MS-AR 5 $2,641.36 $2,641.36 $2,642.51 1.0×
Meriden, CT single city 1 $15,544.62 $15,544.62 $15,544.62 1.0×
Meridian, MS 2 $884.10 $1,288.26 $1,692.42 1.9×
Merrill, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 5 $3,622.16 $3,622.16 $6,006.65 1.7×
Michigan City-La Porte, IN 2 $2,037.19 $3,018.61 $4,000.03 2.0×
Milledgeville, GA 1 $6,404.00 $6,404.00 $6,404.00 1.0×
Milwaukee-Waukesha, WI 1 $754.72 $754.72 $754.72 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 8 $2,472.97 $4,165.58 $6,274.17 2.5×
Minot, ND one side 2 $6,689.60 $6,689.60 $6,689.60 1.0×
Minot, ND both sides 2 $11,188.80 $11,188.80 $11,188.80 1.0×
Mobile, AL both sides 1 $14,579.68 $14,579.68 $14,579.68 1.0×
Modesto, CA 1 $14,425.60 $14,425.60 $14,425.60 1.0×
Monroe, LA 1 $3,206.70 $3,206.70 $3,206.70 1.0×
Morehead, KY single city 1 $11,215.50 $11,215.50 $11,215.50 1.0×
Morgantown, WV one side 1 $9,702.50 $9,702.50 $9,702.50 1.0×
Moultrie, GA 1 $14,219.00 $14,219.00 $14,219.00 1.0×
Moultrie, GA both sides 1 $17,217.00 $17,217.00 $17,217.00 1.0×
Mount Airy, NC 1 $5,676.50 $5,676.50 $5,676.50 1.0×
Mount Sterling, KY 1 $6,470.38 $6,470.38 $6,470.38 1.0×
Mount Vernon, OH 1 $924.26 $924.26 $924.26 1.0×
Mountain Home, AR 1 $7,299.60 $7,299.60 $7,299.60 1.0×
Mullins, SC single city 1 $9,892.50 $9,892.50 $9,892.50 1.0×
Muskegon-Norton Shores, MI one side 1 $10,443.65 $10,443.65 $10,443.65 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 1 $22,422.00 $22,422.00 $22,422.00 1.0×
Nacogdoches, TX 1 $431.00 $431.00 $431.00 1.0×
Naples-Marco Island, FL 3 $9,396.14 $10,965.60 $10,965.60 1.2×
Napoleon, OH single city 1 $1,014.75 $1,014.75 $1,014.75 1.0×
Nashville, GA single city 1 $19,093.50 $19,093.50 $19,093.50 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 7 $3,990.31 $4,784.42 $8,269.20 2.1×
Nashville-Davidson--Murfreesboro--Franklin, TN both sides 2 $9,885.59 $9,885.59 $9,885.59 1.0×
Navasota, TX single city 1 $2,561.30 $2,561.30 $2,561.30 1.0×
New Britain, CT single city 1 $15,544.62 $15,544.62 $15,544.62 1.0×
New London, WI single city 1 $4,469.81 $4,469.81 $4,469.81 1.0×
New Orleans-Metairie, LA 11 $1,466.90 $2,866.78 $22,351.37 15.2×
New Philadelphia-Dover, OH 1 $10,312.25 $10,312.25 $10,312.25 1.0×
New York-Newark-Jersey City, NY-NJ 66 $1,648.00 $4,081.37 $16,721.20 10.1×
North Wilkesboro, NC 1 $5,458.00 $5,458.00 $5,458.00 1.0×
Norwich, CT single city 1 $14,398.00 $14,398.00 $14,398.00 1.0×
Ocala, FL 1 $55,089.99 $55,089.99 $55,089.99 1.0×
Ocean Pines, MD 1 $4,844.00 $4,844.00 $4,844.00 1.0×
Odessa, TX 1 $1,388.00 $1,388.00 $1,388.00 1.0×
Oklahoma City, OK 2 $4,419.90 $7,238.66 $10,057.42 2.3×
Olney, IL single city 1 $10,364.00 $10,364.00 $10,364.00 1.0×
Omaha, NE-IA 2 $1,125.90 $1,358.37 $1,590.84 1.4×
Orangeburg, SC 1 $3,056.50 $3,056.50 $3,056.50 1.0×
Orlando-Kissimmee-Sanford, FL 6 $5,707.20 $5,707.20 $53,276.32 9.3×
Osage Beach, MO single city 1 $1,634.66 $1,634.66 $1,634.66 1.0×
Oshkosh-Neenah, WI 2 $4,469.81 $4,469.81 $4,469.81 1.0×
Owosso, MI 1 $932.80 $932.80 $932.80 1.0×
Oxnard-Thousand Oaks-Ventura, CA 1 $9,423.79 $9,423.79 $9,423.79 1.0×
Paducah, KY-IL 1 $43,732.20 $43,732.20 $43,732.20 1.0×
Palm Bay-Melbourne-Titusville, FL 1 $5,707.20 $5,707.20 $5,707.20 1.0×
Pampa, TX 1 $4,101.00 $4,101.00 $4,101.00 1.0×
Parkersburg-Vienna, WV 1 $5,056.50 $5,056.50 $5,056.50 1.0×
Pensacola-Ferry Pass-Brent, FL 1 $12,292.56 $12,292.56 $12,292.56 1.0×
Peoria, IL 1 $3,760.00 $3,760.00 $3,760.00 1.0×
Perryville, MO single city 1 $9,734.90 $9,734.90 $9,734.90 1.0×
Peru, IN 1 $25,376.35 $25,376.35 $25,376.35 1.0×
Petoskey, MI 1 $9,837.05 $9,837.05 $9,837.05 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 19 $2,639.60 $6,221.15 $17,691.79 6.7×
Phoenix-Mesa-Chandler, AZ 5 $3,691.68 $4,325.66 $11,312.01 3.1×
Pine Bluff, AR 1 $1,403.81 $1,403.81 $1,403.81 1.0×
Pittsburg, KS 1 $16,967.74 $16,967.74 $16,967.74 1.0×
Pittsburgh, PA 4 $8,163.60 $8,609.70 $9,684.48 1.2×
Pittsfield, ME single city 1 $2,582.98 $2,582.98 $2,582.98 1.0×
Platteville, WI 1 $9,362.25 $9,362.25 $9,362.25 1.0×
Plattsburgh, NY 1 $22,369.00 $22,369.00 $22,369.00 1.0×
Plymouth, IN one side 1 $13,330.82 $13,330.82 $13,330.82 1.0×
Polson, MT single city 1 $1,099.20 $1,099.20 $1,099.20 1.0×
Poplar Bluff, MO 1 $12,515.10 $12,515.10 $12,515.10 1.0×
Port St. Lucie, FL 1 $12,890.15 $12,890.15 $12,890.15 1.0×
Portland-South Portland, ME 1 $1,881.10 $1,881.10 $1,881.10 1.0×
Portland-Vancouver-Hillsboro, OR-WA 1 $18,461.08 $18,461.08 $18,461.08 1.0×
Portsmouth, OH one side 1 $5,525.27 $5,525.27 $5,525.27 1.0×
Portsmouth, OH both sides 1 $6,579.89 $6,579.89 $6,579.89 1.0×
Price, UT 1 $22,878.81 $22,878.81 $22,878.81 1.0×
Providence-Warwick, RI-MA 4 $3,943.00 $5,980.39 $6,401.50 1.6×
Punta Gorda, FL 1 $39,444.17 $39,444.17 $39,444.17 1.0×
Rapid City, SD 4 $6,982.93 $12,732.80 $12,732.80 1.8×
Reading, PA 1 $5,830.92 $5,830.92 $5,830.92 1.0×
Rhinelander, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Richmond, VA one side 2 $10,404.27 $11,032.43 $11,660.59 1.1×
Richmond-Berea, KY 1 $1,309.48 $1,309.48 $1,309.48 1.0×
Riverside-San Bernardino-Ontario, CA 11 $2,244.19 $4,511.00 $10,751.65 4.8×
Roanoke Rapids, NC 1 $6,143.20 $6,143.20 $6,143.20 1.0×
Roanoke, VA one side 4 $8,793.75 $8,793.75 $8,793.75 1.0×
Rochester, NY 5 $3,096.00 $9,119.56 $11,985.71 3.9×
Rockport, ME single city 1 $2,935.20 $2,935.20 $2,935.20 1.0×
Rolla, MO 1 $6,338.40 $6,338.40 $6,338.40 1.0×
Rome, GA 2 $12,954.00 $38,385.31 $63,816.62 4.9×
Roosevelt, UT one side single city 1 $6,435.00 $6,435.00 $6,435.00 1.0×
Roswell, NM 1 $12,643.26 $12,643.26 $12,643.26 1.0×
Ruston, LA 1 $7,650.50 $7,650.50 $7,650.50 1.0×
Sacramento-Roseville-Folsom, CA 3 $14,425.60 $14,425.60 $14,425.60 1.0×
Saint Ignace, MI single city 1 $7,516.20 $7,516.20 $7,516.20 1.0×
Salisbury, MD 1 $137.70 $137.70 $137.70 1.0×
Salmon, ID single city 1 $9,351.00 $9,351.00 $9,351.00 1.0×
Salt Lake City-Murray, UT 1 $14,011.22 $14,011.22 $14,011.22 1.0×
San Antonio-New Braunfels, TX 1 $7,061.19 $7,061.19 $7,061.19 1.0×
San Diego-Chula Vista-Carlsbad, CA 12 $6,510.40 $8,235.84 $25,098.96 3.9×
San Francisco-Oakland-Fremont, CA 11 $7,857.00 $14,425.60 $14,425.60 1.8×
San Jose-Sunnyvale-Santa Clara, CA 2 $14,425.60 $14,425.60 $14,425.60 1.0×
San Juan-Bayamón-Caguas, PR 2 $2,100.00 $2,100.00 $2,100.00 1.0×
Santa Rosa-Petaluma, CA 2 $1,146.48 $7,786.04 $14,425.60 12.6×
Savannah, GA 2 $22,976.70 $22,976.70 $22,976.70 1.0×
Scottsbluff, NE single city 1 $14,697.06 $14,697.06 $14,697.06 1.0×
Scottsboro, AL 1 $3,868.47 $3,868.47 $3,868.47 1.0×
Scranton--Wilkes-Barre, PA 1 $3,592.56 $3,592.56 $3,592.56 1.0×
Seaford, DE one side 1 $6,321.45 $6,321.45 $6,321.45 1.0×
Seattle-Tacoma-Bellevue, WA 5 $6,748.32 $6,748.32 $17,713.44 2.6×
Sebastian-Vero Beach-West Vero Corridor, FL 2 $5,707.20 $9,298.68 $12,890.15 2.3×
Sebring, FL 1 $50,739.84 $50,739.84 $50,739.84 1.0×
Shawano, WI 1 $4,469.81 $4,469.81 $4,469.81 1.0×
Shelby-Kings Mountain, NC 1 $2,641.00 $2,641.00 $2,641.00 1.0×
Shelbyville, TN 1 $4,784.42 $4,784.42 $4,784.42 1.0×
Sherman-Denison, TX 1 $8,100.00 $8,100.00 $8,100.00 1.0×
Shreveport-Bossier City, LA 3 $5,215.34 $5,616.52 $7,272.00 1.4×
Sidney, MT single city 1 $2,122.00 $2,122.00 $2,122.00 1.0×
Sikeston, MO 1 $4,306.92 $4,306.92 $4,306.92 1.0×
Slidell-Mandeville-Covington, LA 1 $2,866.78 $2,866.78 $2,866.78 1.0×
Smithville, TN one side single city 1 $6,590.39 $6,590.39 $6,590.39 1.0×
Smithville, TN both sides single city 1 $9,885.59 $9,885.59 $9,885.59 1.0×
South Bend-Mishawaka, IN-MI one side 1 $18,376.14 $18,376.14 $18,376.14 1.0×
Spearfish, SD 2 $12,732.80 $12,732.80 $12,732.80 1.0×
Spencer, IA 1 $11,362.50 $11,362.50 $11,362.50 1.0×
Springfield, MA 2 $2,608.90 $3,206.95 $3,805.00 1.5×
Springfield, MO 3 $1,272.00 $11,182.43 $11,182.43 8.8×
St. Johnsbury, VT single city 1 $964.50 $964.50 $964.50 1.0×
St. Louis, MO-IL 8 $4,387.74 $10,085.63 $32,624.84 7.4×
Staunton-Stuarts Draft, VA one side 1 $10,647.50 $10,647.50 $10,647.50 1.0×
Ste. Genevieve, MO single city 1 $725.00 $725.00 $725.00 1.0×
Ste. Genevieve, MO both sides single city 1 $815.00 $815.00 $815.00 1.0×
Stephenville, TX 1 $18,406.05 $18,406.05 $18,406.05 1.0×
Sterling, IL 1 $11,452.00 $11,452.00 $11,452.00 1.0×
Stevens Point-Plover, WI 2 $9,651.20 $9,651.20 $9,651.20 1.0×
Stockton-Lodi, CA 1 $14,425.60 $14,425.60 $14,425.60 1.0×
Sylva, NC single city 1 $17,553.74 $17,553.74 $17,553.74 1.0×
Syracuse, NY one side 1 $5,843.92 $5,843.92 $5,843.92 1.0×
Tallahassee, FL 1 $19,726.66 $19,726.66 $19,726.66 1.0×
Tampa-St. Petersburg-Clearwater, FL 9 $5,707.20 $38,036.00 $43,147.51 7.6×
Temple, TX single city 1 $3,600.00 $3,600.00 $3,600.00 1.0×
Terre Haute, IN 2 $12,480.00 $12,480.00 $12,480.00 1.0×
Texarkana, TX-AR 1 $25,376.35 $25,376.35 $25,376.35 1.0×
Tiffin, OH one side 1 $11,073.90 $11,073.90 $11,073.90 1.0×
Toledo, OH 6 $7,660.00 $15,366.33 $17,263.14 2.3×
Tomahawk, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Torrington, CT single city 1 $14,848.13 $14,848.13 $14,848.13 1.0×
Trenton-Princeton, NJ 1 $5,110.00 $5,110.00 $5,110.00 1.0×
Tucson, AZ 1 $14,137.84 $14,137.84 $14,137.84 1.0×
Tullahoma-Manchester, TN 1 $4,784.42 $4,784.42 $4,784.42 1.0×
Twin Falls, ID 1 $8,773.00 $8,773.00 $8,773.00 1.0×
Two Harbors, MN single city 1 $12,219.90 $12,219.90 $12,219.90 1.0×
Upper Sandusky, OH single city 1 $2,451.92 $2,451.92 $2,451.92 1.0×
Urban Honolulu, HI 4 $2,696.25 $4,168.50 $4,168.50 1.5×
Utica-Rome, NY 1 $4,593.70 $4,593.70 $4,593.70 1.0×
Valdosta, GA 1 $19,093.50 $19,093.50 $19,093.50 1.0×
Vallejo, CA 3 $13,586.00 $14,425.60 $14,425.60 1.1×
Vicksburg, MS 1 $12,024.73 $12,024.73 $12,024.73 1.0×
Vineland, NJ 2 $17,691.79 $17,691.79 $17,691.79 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $5,744.38 $10,660.19 $15,576.00 2.7×
Visalia, CA 1 $8,622.00 $8,622.00 $8,622.00 1.0×
Waco, TX 1 $3,600.00 $3,600.00 $3,600.00 1.0×
Wadena, MN single city 1 $11,899.30 $11,899.30 $11,899.30 1.0×
Warner Robins, GA 1 $5,484.00 $5,484.00 $5,484.00 1.0×
Warsaw, IN 1 $16,735.83 $16,735.83 $16,735.83 1.0×
Washington, IN 1 $7,052.15 $7,052.15 $7,052.15 1.0×
Washington, NC 1 $3,376.63 $3,376.63 $3,376.63 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 5 $3,262.82 $5,887.50 $8,412.68 2.6×
Waterbury, CT single city 2 $5,863.47 $8,093.76 $10,324.05 1.8×
Watertown-Fort Atkinson, WI 1 $9,012.16 $9,012.16 $9,012.16 1.0×
Watford City, ND single city 1 $9,815.00 $9,815.00 $9,815.00 1.0×
Waupaca, WI single city 1 $4,469.81 $4,469.81 $4,469.81 1.0×
Wausau, WI 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Waynesboro, TN single city 1 $4,100.00 $4,100.00 $4,100.00 1.0×
Wedowee, AL single city 1 $2,476.00 $2,476.00 $2,476.00 1.0×
Weirton-Steubenville, WV-OH 1 $9,266.50 $9,266.50 $9,266.50 1.0×
Wenatchee-East Wenatchee, WA 1 $2,800.00 $2,800.00 $2,800.00 1.0×
Wheeling, WV-OH one side 2 $6,599.50 $7,883.25 $9,167.00 1.4×
Wichita, KS 3 $4,875.00 $7,394.76 $8,753.55 1.8×
Wild Rose, WI single city 1 $4,469.81 $4,469.81 $4,469.81 1.0×
Willimantic, CT single city 1 $14,398.00 $14,398.00 $14,398.00 1.0×
Wilson, NC 1 $13,452.40 $13,452.40 $13,452.40 1.0×
Winamac, IN single city 1 $4,304.23 $4,304.23 $4,304.23 1.0×
Winchester, TN 1 $12,992.78 $12,992.78 $12,992.78 1.0×
Winston-Salem, NC 3 $4,410.50 $4,653.50 $4,906.00 1.1×
Wisconsin Rapids-Marshfield, WI 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Woodruff, WI single city 1 $9,651.20 $9,651.20 $9,651.20 1.0×
Worcester, MA 3 $9,507.14 $11,881.70 $24,863.00 2.6×
Wytheville, VA single city 1 $19,018.48 $19,018.48 $19,018.48 1.0×
York, NE single city 1 $8,622.25 $8,622.25 $8,622.25 1.0×
York-Hanover, PA 1 $37,029.00 $37,029.00 $37,029.00 1.0×
Youngstown-Warren, OH 4 $4,749.75 $14,081.56 $17,406.70 3.7×
Ypsilanti, MI one side single city 1 $6,538.97 $6,538.97 $6,538.97 1.0×
Zanesville, OH 1 $6,243.80 $6,243.80 $6,243.80 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 50590?

CPT 50590 is the billing code for shock-wave lithotripsy to break up kidney stones (from outside the body). 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.

How is this different from ureteroscopy?

Shock-wave lithotripsy works from outside the body, while ureteroscopy (52356) passes a scope up the urinary tract and breaks the stone with a laser.

Will one treatment be enough?

Often yes, but larger or harder stones sometimes need another treatment, which is billed again.

Is it cheaper to pay cash or use insurance for shock wave lithotripsy?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for shock wave lithotripsy has a median of $13,052.00 and the lowest a median of $1,726.38; at 669 of 817 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest shock wave lithotripsy?

Among 42 states with at least 5 hospitals listing a cash price, the median is lowest in Montana ($2,122.00), Maine ($2,582.98) and Arkansas ($3,088.28), and highest in Colorado ($31,898.40), Florida ($18,347.66) and Connecticut ($14,061.04). Prices vary as much between hospitals in the same state, so compare hospitals near you.