Surgery and procedures CPT 50590 Washington Outpatient

Shock wave lithotripsy cost in Washington

In Washington, 9 hospitals publish a cash price for shock-wave lithotripsy to break up kidney stones (from outside the body): from $2,800.00 to $35,109.75, with a median of $8,678.45. The lowest price is at Lake Chelan Community Hospital (Chelan). The highest price is 12.5× the lowest.

The median here, $8,678.45, is 17% above the US median of $7,427.08.
Washington ranks 24th of 42 states by median, cheapest first.
1 of 9 hospitals list a cash price equal to their full list price, with no self-pay discount.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care 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 Nov 12, 2026. See them on a map

Lowest$2,800.00Lake Chelan Community Hospital

Median$8,678.45half of hospitals charge less

Highest$35,109.75in Washington

Lowest saves$5,878.45vs the median

Hospitals in Washington, cheapest first

Hospital	Cash price	List price	File date
Lake Chelan Community Hospital lowest Chelan · Wenatchee-East Wenatchee, WA Shock wave crushing of kidney stones	$2,800.00	$2,800.00	Sep 1, 2026 source file
Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC FRAGMENTING OF KIDNEY STONE	$6,748.32	$14,059.00	Apr 1, 2026 source file
Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC FRAGMENTING OF KIDNEY STONE	$6,748.32	$14,059.00	Apr 1, 2026 source file
Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC FRAGMENTING OF KIDNEY STONE	$6,748.32	$14,059.00	Apr 1, 2026 source file
Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC Lithotripsy Extracorporeal Shockwave	$8,678.45	$16,757.00	Sep 30, 2026 source file
Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Lithotripsy Xtrcorp Shock Wave	$17,713.44	$25,304.92	Mar 12, 2026 source file
PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA SHOCK WAVE CRUSHING OF KIDNEY STONES	$18,461.08	$28,401.66	Mar 20, 2026 source file
PeaceHealth St Joseph Medical Center one side Bellingham · Bellingham, WA SHOCK WAVE CRUSHING OF KIDNEY STONES	$24,221.60	$37,264.00	Mar 21, 2026 source file
PeaceHealth St John Medical Center one side Longview · Longview-Kelso, WA SHOCK WAVE CRUSHING OF KIDNEY STONES	$35,109.75	$54,015.00	Mar 21, 2026 source file

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 area	Hospitals	Lowest	Median
Seattle-Tacoma-Bellevue, WA	5	$6,748.32	$6,748.32
Bellingham, WA	1	$24,221.60	$24,221.60
Longview-Kelso, WA	1	$35,109.75	$35,109.75
Portland-Vancouver-Hillsboro, OR-WA	1	$18,461.08	$18,461.08
Wenatchee-East Wenatchee, WA	1	$2,800.00	$2,800.00

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.