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Procedure price report · Other OR therapeutic procedures of urinary tract

Keyhole surgery to destroy a kidney tumor or growth

CPT 50542the billing code this page is about

Through small abdominal incisions with a camera, a mass or lesion in the kidney is destroyed, including ultrasound imaging done during the operation if used.

Hospitals typically charge $5,339 cash for this outpatient procedure — the median across 234 hospitals that filed a usable cash price; the average of the middle 60% is $7,072. Most fall between $1,916 and $13,994 (20th–80th percentile).

Hospitals
234
States
36
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 234 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
$1,629$2,120$5,339$13,269$22,859

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,629 vs $22,859).

How the prices are spread

$1,231 – $1,648: 22 hospitals$1,231$1,648 – $2,208: 34 hospitals$2,208 – $2,957: 25 hospitals$2,208$2,957 – $3,960: 9 hospitals$3,960 – $5,304: 15 hospitals$3,960$5,304 – $7,104: 12 hospitals$7,104 – $9,514: 9 hospitals$7,104$9,514 – $12,743: 37 hospitals$12,743 – $17,067: 26 hospitals$12,743$17,067 – $22,859: 25 hospitals$17,067median $5,339price bands are equal on a log scale
Hospitals per price band (214 of 234 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,231$1,64822
$1,648$2,20834
$2,208$2,95725
$2,957$3,9609
$3,960$5,30415
$5,304$7,10412
$7,104$9,5149
$9,514$12,74337
$12,743$17,06726
$17,067$22,85925

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$5,339
Cash as a multiple of Medicare0.49×

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 $5,339.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $1,761 across 15 hospitalsMI$1,761New York: median $12,320 across 20 hospitalsNY$12,320Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,946 across 15 hospitalsIA$2,946Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $15,335 across 10 hospitalsPA$15,335New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $22,859 across 24 hospitalsCA$22,859Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,916 across 13 hospitalsOK$1,916Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $13,994 across 18 hospitalsTX$13,994Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,339. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$22,859+328%$12,275 – $22,859
Pennsylvania PA10$15,335+187%$6,841 – $19,618
Texas TX18$13,994+162%$13,994 – $13,994
New York NY20$12,320+131%$3,854 – $12,320
New Jersey NJ22$6,311+18%$4,881 – $11,534
Iowa IA15$2,946−45%$2,946 – $2,946
Oklahoma OK13$1,916−64%$1,916 – $21,226
Michigan MI15$1,761−67%$1,427 – $14,616
Illinois IL9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Dakota ND1not 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 $5,339.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care215$6,061$1,916 – $13,994
Children’s4fewer than 20 hospitals
Critical access14fewer than 20 hospitals
Ownership
For-profit25$3,261$1,629 – $16,342
Government24$3,554$2,056 – $12,320
Non-profit184$5,554$1,916 – $13,994
System affiliation
Part of a system195$5,855$1,916 – $13,994
Independent39$2,906$2,045 – $10,451

Cash price vs list price

Median list price (chargemaster)$4,425
Median cash price$5,339
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

146 hospitals filed a usable inpatient cash price for this code. The median is $2,946 and the average of the middle 60% is $5,612; most fall between $1,742 and $13,994.

Cash price percentiles, inpatient, across 146 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
$1,446$1,916$2,946$13,994$22,859

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,446 vs $22,859).

Of the 173 hospitals that filed this code inpatient, 146 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

234 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 271 hospitals that filed this code at all gave us
Usable cash price — counted234
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded4
Hospitals that filed this code271

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures of urinary tract family.

Hospitals file this code under descriptions such as Laps Abltj Renal Mass Lesion W/Intraop US.

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, “Keyhole surgery to destroy a kidney tumor or growth (CPT 50542) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50542-keyhole-surgery-to-destroy-a-kidney-tumor-or-growth