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Procedure price report · Nephrotomy and nephrostomy

Kidney stone removal through the skin, stone over 2 cm

CPT 50081the billing code this page is about

Stone removal through a tract made through the back into the kidney for a stone larger than 2 centimeters or a complex or branched stone; may include breaking up the stone.

Hospitals typically charge $7,791 cash for this outpatient procedure — the median across 731 hospitals that filed a usable cash price; the average of the middle 60% is $8,012. Most fall between $2,883 and $15,579 (20th–80th percentile).

Hospitals
731
States
48
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 731 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$2,017$3,366$7,791$12,936$22,021

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($2,017 vs $22,021).

How the prices are spread

$1,608 – $2,180: 54 hospitals$1,608$2,180 – $2,956: 63 hospitals$2,956 – $4,009: 57 hospitals$2,956$4,009 – $5,435: 65 hospitals$5,435 – $7,370: 81 hospitals$5,435$7,370 – $9,993: 72 hospitals$9,993 – $13,550: 142 hospitals$9,993$13,550 – $18,372: 51 hospitals$18,372 – $24,911: 49 hospitals$18,372$24,911 – $33,777: 26 hospitals$24,911median $7,791price bands are equal on a log scale
Hospitals per price band (660 of 731 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,608$2,18054
$2,180$2,95663
$2,956$4,00957
$4,009$5,43565
$5,435$7,37081
$7,370$9,99372
$9,993$13,550142
$13,550$18,37251
$18,372$24,91149
$24,911$33,77726

Against Medicare

Medicare pays (OPPS 2026, national rate)$9,672
Median cash price$7,791
Cash as a multiple of Medicare0.81×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $7,791.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,673 across 19 hospitalsWA$4,673Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $5,955 across 19 hospitalsMN$5,955Illinois: median $3,850 across 32 hospitalsIL$3,850Wisconsin: median $6,250 across 30 hospitalsWI$6,250Michigan: median $2,353 across 37 hospitalsMI$2,353New York: median $10,943 across 54 hospitalsNY$10,943Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,043 across 12 hospitalsOR$2,043Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $3,228 across 19 hospitalsIA$3,228Indiana: median $7,039 across 18 hospitalsIN$7,039Ohio: median $5,980 across 24 hospitalsOH$5,980Pennsylvania: median $10,763 across 38 hospitalsPA$10,763New Jersey: median $10,106 across 41 hospitalsNJ$10,106Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $10,185 across 67 hospitalsCA$10,185Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $12,966 across 15 hospitalsMO$12,966Kentucky: median $2,064 across 10 hospitalsKY$2,064West Virginia: median $6,073 across 11 hospitalsWV$6,073Virginia: median $16,759 across 15 hospitalsVA$16,759Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $3,920 across 10 hospitalsAR$3,920Tennessee: median $2,386 across 11 hospitalsTN$2,386North Carolina: median $2,328 across 11 hospitalsNC$2,328South Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,901 across 13 hospitalsOK$1,901Louisiana: median $7,596 across 16 hospitalsLA$7,596Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $9,305 across 10 hospitalsAL$9,305Georgia: median $2,883 across 12 hospitalsGA$2,883Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $9,233 across 60 hospitalsTX$9,233Florida: median $18,048 across 30 hospitalsFL$18,048
Cash price by state, most expensive first. National median $7,791. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL30$18,048+132%$10,472 – $26,250
Virginia VA15$16,759+115%$4,577 – $16,759
Missouri MO15$12,966+66%$3,752 – $29,526
New York NY54$10,943+40%$3,236 – $21,735
Pennsylvania PA38$10,763+38%$5,961 – $17,351
California CA67$10,185+31%$6,733 – $12,936
New Jersey NJ41$10,106+30%$4,500 – $12,130
Alabama AL10$9,305+19%$3,968 – $23,161
Texas TX60$9,233+19%$6,704 – $10,115
Louisiana LA16$7,596−2%$4,417 – $17,957
Indiana IN18$7,039−10%$1,790 – $16,180
Wisconsin WI30$6,250−20%$5,709 – $10,687
West Virginia WV11$6,073−22%$2,904 – $16,777
Ohio OH24$5,980−23%$4,523 – $34,804
Minnesota MN19$5,955−24%$4,534 – $5,955
Washington WA19$4,673−40%$2,210 – $12,880
Arkansas AR10$3,920−50%$3,074 – $6,026
Illinois IL32$3,850−51%$2,183 – $45,164
Iowa IA19$3,228−59%$3,228 – $16,198
Georgia GA12$2,883−63%$2,883 – $3,085
Tennessee TN11$2,386−69%$1,281 – $11,801
Michigan MI37$2,353−70%$2,017 – $9,386
North Carolina NC11$2,328−70%$2,328 – $3,171
Kentucky KY10$2,064−74%$1,557 – $37,131
Oregon OR12$2,043−74%$2,043 – $3,779
Oklahoma OK13$1,901−76%$1,901 – $18,853
Idaho ID9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $7,791.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care641$9,233$3,085 – $16,198
Children’s12fewer than 20 hospitals
Critical access75$5,546$2,017 – $6,704
Ownership
For-profit78$10,115$3,085 – $18,897
Government96$5,972$2,256 – $15,579
Non-profit554$7,708$2,970 – $13,976
System affiliation
Part of a system595$8,589$3,085 – $15,579
Independent136$5,362$2,391 – $14,880

Cash price vs list price

Median list price (chargemaster)$11,984
Median cash price$7,791
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

413 hospitals filed a usable inpatient cash price for this code. The median is $6,250 and the average of the middle 60% is $7,163; most fall between $2,317 and $12,936.

Cash price percentiles, inpatient, across 413 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,790$2,684$6,250$11,154$15,772

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($1,790 vs $15,772).

Of the 470 hospitals that filed this code inpatient, 413 gave a usable cash price; 27 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

731 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 814 hospitals that filed this code at all gave us
Usable cash price — counted731
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded27
Hospitals that filed this code814

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Nephrotomy and nephrostomy family.

Hospitals file this code under descriptions such as Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Kidney stone removal through the skin, stone over 2 cm (CPT 50081) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50081-kidney-stone-removal-through-the-skin-stone-over-2-cm