{"procedure":{"code_type":"CPT","code":"50590","lay_name":"Shock wave treatment to break up a kidney stone","blurb":"Shock waves aimed from outside the body break a kidney stone into smaller pieces that can pass in the urine; covers one treatment session.","slug":"cpt-50590-shock-wave-treatment-to-break-up-a-kidney-stone","description":"Lithotripsy Xtrcorp Shock Wave","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"107","label":"Extracorporeal lithotripsy, urinary","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":1368,"n_usable":1257,"n_not_usable":0,"n_labelled":66,"n_no_cash":38,"n_estimated":7,"n_states":50,"cash_p10":1212.4,"cash_p20":2068.5,"cash_p25":2535.35,"cash_p50":5842.2,"cash_p75":11073.9,"cash_p80":12374.4,"cash_p90":18406.05,"cash_mean_trimmed":6313.83,"gross_p50":11318.87,"cash_to_gross_p50":0.6,"medicare_rate":3601.33,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.6222,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":17,"p20":2923.0,"p50":4097.88,"p80":15600.0},{"state":"AR","n":13,"p20":1660.5,"p50":3079.73,"p80":7299.6},{"state":"AZ","n":9,"p20":null,"p50":null,"p80":null},{"state":"CA","n":66,"p20":4117.92,"p50":6510.4,"p80":14425.6},{"state":"CO","n":29,"p20":5322.9,"p50":11487.7,"p80":22194.0},{"state":"CT","n":16,"p20":6706.44,"p50":7609.23,"p80":14398.0},{"state":"DE","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":50,"p20":5707.2,"p50":18347.66,"p80":38036.0},{"state":"GA","n":57,"p20":5252.5,"p50":10395.0,"p80":14940.91},{"state":"HI","n":7,"p20":null,"p50":null,"p80":null},{"state":"IA","n":37,"p20":1670.4,"p50":1839.2,"p80":5532.25},{"state":"ID","n":14,"p20":3691.0,"p50":8773.0,"p80":9726.79},{"state":"IL","n":55,"p20":1470.0,"p50":6316.47,"p80":14088.23},{"state":"IN","n":32,"p20":1470.0,"p50":4126.7,"p80":14728.89},{"state":"KS","n":15,"p20":1484.59,"p50":3320.0,"p80":7417.55},{"state":"KY","n":24,"p20":1470.0,"p50":6691.73,"p80":13849.01},{"state":"LA","n":34,"p20":2240.73,"p50":5543.04,"p80":11726.16},{"state":"MA","n":15,"p20":3497.21,"p50":9507.14,"p80":10602.0},{"state":"MD","n":9,"p20":null,"p50":null,"p80":null},{"state":"ME","n":12,"p20":1268.0,"p50":1846.8,"p80":2675.05},{"state":"MI","n":41,"p20":1274.4,"p50":2323.2,"p80":5951.68},{"state":"MN","n":31,"p20":1589.94,"p50":4476.94,"p80":5880.16},{"state":"MO","n":28,"p20":3513.0,"p50":8245.6,"p80":11182.43},{"state":"MS","n":17,"p20":1692.42,"p50":8626.06,"p80":10879.0},{"state":"MT","n":9,"p20":null,"p50":null,"p80":null},{"state":"NC","n":55,"p20":2535.35,"p50":5992.8,"p80":12374.4},{"state":"ND","n":8,"p20":null,"p50":null,"p80":null},{"state":"NE","n":15,"p20":1590.84,"p50":2678.13,"p80":9918.0},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":44,"p20":3769.31,"p50":4350.0,"p80":5419.0},{"state":"NM","n":7,"p20":null,"p50":null,"p80":null},{"state":"NV","n":8,"p20":null,"p50":null,"p80":null},{"state":"NY","n":70,"p20":2509.0,"p50":5164.0,"p80":13606.63},{"state":"OH","n":61,"p20":3318.0,"p50":9611.21,"p80":10312.25},{"state":"OK","n":22,"p20":1212.4,"p50":7031.76,"p80":10170.66},{"state":"OR","n":15,"p20":1130.35,"p50":1250.4,"p80":3038.0},{"state":"PA","n":42,"p20":600.0,"p50":4492.0,"p80":6655.2},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":15,"p20":6899.93,"p50":9541.42,"p80":13152.81},{"state":"SD","n":7,"p20":null,"p50":null,"p80":null},{"state":"TN","n":23,"p20":853.76,"p50":5707.88,"p80":8455.35},{"state":"TX","n":89,"p20":3600.0,"p50":6811.56,"p80":18406.05},{"state":"UT","n":6,"p20":null,"p50":null,"p80":null},{"state":"VA","n":23,"p20":7444.0,"p50":8793.75,"p80":11377.3},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":19,"p20":1323.45,"p50":2834.0,"p80":17713.44},{"state":"WI","n":39,"p20":2913.74,"p50":5499.0,"p80":9362.25},{"state":"WV","n":21,"p20":596.5,"p50":4708.0,"p80":9266.5},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":1036,"p20":2530.8,"p50":6498.98,"p80":13629.6},{"key":"childrens","n":12,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":205,"p20":1336.08,"p50":2913.74,"p80":8622.25}],"ownership":[{"key":"for_profit","n":155,"p20":3600.0,"p50":8773.0,"p80":15761.79},{"key":"government","n":184,"p20":1441.2,"p50":3056.5,"p80":10377.0},{"key":"nonprofit","n":914,"p20":2240.73,"p50":5880.16,"p80":12206.97}],"affiliation":[{"key":"affiliated","n":1013,"p20":2476.0,"p50":6221.15,"p80":12865.5},{"key":"independent","n":244,"p20":1323.45,"p50":4097.88,"p80":10170.66}]},"histogram":[{"lo":923.0,"hi":1283.03,"n":76},{"lo":1283.03,"hi":1783.5,"n":73},{"lo":1783.5,"hi":2479.18,"n":86},{"lo":2479.18,"hi":3446.22,"n":98},{"lo":3446.22,"hi":4790.46,"n":146},{"lo":4790.46,"hi":6659.06,"n":171},{"lo":6659.06,"hi":9256.53,"n":129},{"lo":9256.53,"hi":12867.17,"n":185},{"lo":12867.17,"hi":17886.21,"n":94},{"lo":17886.21,"hi":24863.0,"n":75}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-01-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:13:17.893132Z","n_priced_setters":3956,"n_filed":810,"n_usable":741,"n_not_usable":0,"n_labelled":38,"n_no_cash":31,"n_estimated":0,"n_states":49,"cash_p10":1154.4,"cash_p20":1839.2,"cash_p25":2428.85,"cash_p50":6221.15,"cash_p75":11424.34,"cash_p80":12372.0,"cash_p90":19584.06,"cash_mean_trimmed":6422.91,"gross_p50":10628.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":7,"p20":null,"p50":null,"p80":null},{"state":"AR","n":3,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":51,"p20":4117.92,"p50":8235.84,"p80":14425.6},{"state":"CO","n":24,"p20":6210.05,"p50":11487.7,"p80":31898.4},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":37,"p20":5707.2,"p50":22747.0,"p80":38036.0},{"state":"GA","n":49,"p20":6116.5,"p50":12192.0,"p80":14940.91},{"state":"HI","n":5,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":1839.2,"p50":1839.2,"p80":4803.12},{"state":"ID","n":7,"p20":null,"p50":null,"p80":null},{"state":"IL","n":36,"p20":1808.61,"p50":6445.0,"p80":13629.6},{"state":"IN","n":23,"p20":804.65,"p50":1591.0,"p80":18673.8},{"state":"KS","n":6,"p20":null,"p50":null,"p80":null},{"state":"KY","n":16,"p20":1966.2,"p50":6278.18,"p80":13849.01},{"state":"LA","n":15,"p20":3611.95,"p50":5616.52,"p80":11726.16},{"state":"MA","n":11,"p20":7357.7,"p50":9812.0,"p80":10602.0},{"state":"MD","n":5,"p20":null,"p50":null,"p80":null},{"state":"ME","n":11,"p20":899.04,"p50":1846.8,"p80":2495.7},{"state":"MI","n":22,"p20":1173.0,"p50":5294.0,"p80":7496.16},{"state":"MN","n":17,"p20":1428.0,"p50":2534.0,"p80":4613.0},{"state":"MO","n":13,"p20":4380.0,"p50":8245.6,"p80":9240.0},{"state":"MS","n":5,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":34,"p20":2535.35,"p50":3464.5,"p80":6955.5},{"state":"ND","n":7,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":7,"p20":null,"p50":null,"p80":null},{"state":"NM","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":5,"p20":null,"p50":null,"p80":null},{"state":"NY","n":33,"p20":1227.0,"p50":3483.0,"p80":9119.56},{"state":"OH","n":42,"p20":2451.92,"p50":9827.25,"p80":10312.25},{"state":"OK","n":17,"p20":1212.4,"p50":1212.4,"p80":8932.06},{"state":"OR","n":8,"p20":null,"p50":null,"p80":null},{"state":"PA","n":31,"p20":387.86,"p50":5355.66,"p80":6655.2},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":2,"p20":null,"p50":null,"p80":null},{"state":"TN","n":13,"p20":853.76,"p50":6590.39,"p80":6590.42},{"state":"TX","n":73,"p20":3600.0,"p50":7061.19,"p80":18406.05},{"state":"UT","n":3,"p20":null,"p50":null,"p80":null},{"state":"VA","n":11,"p20":5887.5,"p50":8932.8,"p80":9134.4},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":8,"p20":null,"p50":null,"p80":null},{"state":"WI","n":22,"p20":2954.4,"p50":5499.0,"p80":7471.2},{"state":"WV","n":5,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":631,"p20":1902.0,"p50":6590.39,"p80":14219.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":99,"p20":1274.4,"p50":3760.0,"p80":8489.15}],"ownership":[{"key":"for_profit","n":83,"p20":1966.2,"p50":7211.82,"p80":18406.05},{"key":"government","n":96,"p20":1441.2,"p50":3471.05,"p80":10299.8},{"key":"nonprofit","n":558,"p20":1839.2,"p50":6498.98,"p80":12734.7}],"affiliation":[{"key":"affiliated","n":611,"p20":2000.0,"p50":6510.4,"p80":13849.01},{"key":"independent","n":130,"p20":1129.0,"p50":3691.0,"p80":9078.0}]},"histogram":[{"lo":853.76,"hi":1210.18,"n":44},{"lo":1210.18,"hi":1715.4,"n":58},{"lo":1715.4,"hi":2431.53,"n":49},{"lo":2431.53,"hi":3446.62,"n":42},{"lo":3446.62,"hi":4885.48,"n":75},{"lo":4885.48,"hi":6925.04,"n":107},{"lo":6925.04,"hi":9816.04,"n":105},{"lo":9816.04,"hi":13913.96,"n":92},{"lo":13913.96,"hi":19722.65,"n":60},{"lo":19722.65,"hi":27956.29,"n":38}],"previous":null}},"related":[{"code_type":"CPT","code":"52356","lay_name":"Ureter scope with stone breakup and stent placement","slug":"cpt-52356-ureter-scope-with-stone-breakup-and-stent-placement"},{"code_type":"CPT","code":"52353","lay_name":"Ureter scope with stone breakup by laser or shock","slug":"cpt-52353-ureter-scope-with-stone-breakup-by-laser-or-shock"}]}