Surgery and procedures CPT 50590 Maryland Outpatient

Shock wave lithotripsy cost in Maryland

In Maryland, 7 hospitals publish a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $137.70 to $5,935.21, with a median of $4,382.19. The lowest price is at TidalHealth Peninsula (Salisbury). The highest price is 43.1× the lowest.

  • The median here, $4,382.19, is 41% below the US median of $7,462.00.
  • Maryland ranks 6th of 42 states by median, cheapest first.
  • 1 of 7 hospitals list a cash price equal to their full list price, with no self-pay discount.

Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.

Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 50590. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 29, 2026. See them on a map

Lowest$137.70TidalHealth Peninsula
Median$4,382.19half of hospitals charge less
Highest$5,935.21in Maryland
Lowest saves$4,244.49vs the median

Hospitals in Maryland, cheapest first

HospitalCash priceList priceFile date
TidalHealth Peninsula lowest Salisbury · Salisbury, MD HC LITHOTRIPSY $137.70 $140.51 Mar 19, 2026
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MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV LITHOTRIPSY ,EXTRCORP SHOCKWAV $3,262.82 $3,329.41 Apr 1, 2026
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Greater Baltimore Medical Center Towson · Baltimore-Columbia-Towson, MD HC Lithotripsy (Eswl) $3,491.66 $3,562.92 Jul 1, 2026
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Meritus Medical Center Hagerstown · Hagerstown-Martinsburg, MD-WV HC Lithotripsy $4,382.19 $4,471.62 Jun 10, 2026
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Atlantic General Hospital Berlin · Ocean Pines, MD Lithotripsy, extracorporeal shock wave $4,844.00 $4,844.00 Apr 10, 2026
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MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV LITHOTRIPSY ,EXTRCORP SHOCKWAV $4,970.98 $5,072.43 Apr 1, 2026
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Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC FRAGMENT KIDNEY STONE/ ESWL $5,935.21 $6,056.34 Jan 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Baltimore-Columbia-Towson, MD 2 $3,491.66 $4,713.44
Washington-Arlington-Alexandria, DC-VA-MD-WV 2 $3,262.82 $4,116.90
Hagerstown-Martinsburg, MD-WV 1 $4,382.19 $4,382.19
Ocean Pines, MD 1 $4,844.00 $4,844.00
Salisbury, MD 1 $137.70 $137.70
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

What shock wave lithotripsy is, what the price covers and why prices differ: Shock wave lithotripsy explained.

Shock-wave lithotripsy to break up kidney stones (from outside the body) in other states

Median cash price across the state's hospitals.