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Procedure price report · Extracorporeal lithotripsy, urinary

Shock wave treatment to break up a kidney stone

CPT 50590the billing code this page is about

Shock waves aimed from outside the body break a kidney stone into smaller pieces that can pass in the urine; covers one treatment session.

Hospitals typically charge $5,842 cash for this outpatient procedure — the median across 1,257 hospitals that filed a usable cash price; the average of the middle 60% is $6,314. Most fall between $2,069 and $12,374 (20th–80th percentile).

Hospitals
1,257
States
50
Filings dated
Mar 2023 – 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 1,257 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
$1,212$2,535$5,842$11,074$18,406

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,212 vs $18,406).

How the prices are spread

$923 – $1,283: 76 hospitals$923$1,283 – $1,784: 73 hospitals$1,784 – $2,479: 86 hospitals$1,784$2,479 – $3,446: 98 hospitals$3,446 – $4,790: 146 hospitals$3,446$4,790 – $6,659: 171 hospitals$6,659 – $9,257: 129 hospitals$6,659$9,257 – $12,867: 185 hospitals$12,867 – $17,886: 94 hospitals$12,867$17,886 – $24,863: 75 hospitals$17,886median $5,842price bands are equal on a log scale
Hospitals per price band (1,133 of 1,257 — the bands cover the 5th to 95th percentile)
FromToHospitals
$923$1,28376
$1,283$1,78473
$1,784$2,47986
$2,479$3,44698
$3,446$4,790146
$4,790$6,659171
$6,659$9,257129
$9,257$12,867185
$12,867$17,88694
$17,886$24,86375

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$5,842
Cash as a multiple of Medicare1.62×

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 $5,842.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,847 across 12 hospitalsME$1,847Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,834 across 19 hospitalsWA$2,834Idaho: median $8,773 across 14 hospitalsID$8,773Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,477 across 31 hospitalsMN$4,477Illinois: median $6,316 across 55 hospitalsIL$6,316Wisconsin: median $5,499 across 39 hospitalsWI$5,499Michigan: median $2,323 across 41 hospitalsMI$2,323New York: median $5,164 across 70 hospitalsNY$5,164Massachusetts: median $9,507 across 15 hospitalsMA$9,507Oregon: median $1,250 across 15 hospitalsOR$1,250Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,839 across 37 hospitalsIA$1,839Indiana: median $4,127 across 32 hospitalsIN$4,127Ohio: median $9,611 across 61 hospitalsOH$9,611Pennsylvania: median $4,492 across 42 hospitalsPA$4,492New Jersey: median $4,350 across 44 hospitalsNJ$4,350Connecticut: median $7,609 across 16 hospitalsCT$7,609Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,510 across 66 hospitalsCA$6,510Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $11,488 across 29 hospitalsCO$11,488Nebraska: median $2,678 across 15 hospitalsNE$2,678Missouri: median $8,246 across 28 hospitalsMO$8,246Kentucky: median $6,692 across 24 hospitalsKY$6,692West Virginia: median $4,708 across 21 hospitalsWV$4,708Virginia: median $8,794 across 23 hospitalsVA$8,794Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,320 across 15 hospitalsKS$3,320Arkansas: median $3,080 across 13 hospitalsAR$3,080Tennessee: median $5,708 across 23 hospitalsTN$5,708North Carolina: median $5,993 across 55 hospitalsNC$5,993South Carolina: median $9,541 across 15 hospitalsSC$9,541Oklahoma: median $7,032 across 22 hospitalsOK$7,032Louisiana: median $5,543 across 34 hospitalsLA$5,543Mississippi: median $8,626 across 17 hospitalsMS$8,626Alabama: median $4,098 across 17 hospitalsAL$4,098Georgia: median $10,395 across 57 hospitalsGA$10,395Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,812 across 89 hospitalsTX$6,812Florida: median $18,348 across 50 hospitalsFL$18,348
Cash price by state, most expensive first. National median $5,842. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL50$18,348+214%$5,707 – $38,036
Colorado CO29$11,488+97%$5,323 – $22,194
Georgia GA57$10,395+78%$5,253 – $14,941
Ohio OH61$9,611+65%$3,318 – $10,312
South Carolina SC15$9,541+63%$6,900 – $13,153
Massachusetts MA15$9,507+63%$3,497 – $10,602
Virginia VA23$8,794+51%$7,444 – $11,377
Idaho ID14$8,773+50%$3,691 – $9,727
Mississippi MS17$8,626+48%$1,692 – $10,879
Missouri MO28$8,246+41%$3,513 – $11,182
Connecticut CT16$7,609+30%$6,706 – $14,398
Oklahoma OK22$7,032+20%$1,212 – $10,171
Texas TX89$6,812+17%$3,600 – $18,406
Kentucky KY24$6,692+15%$1,470 – $13,849
California CA66$6,510+11%$4,118 – $14,426
Illinois IL55$6,316+8%$1,470 – $14,088
North Carolina NC55$5,993+3%$2,535 – $12,374
Tennessee TN23$5,708−2%$854 – $8,455
Louisiana LA34$5,543−5%$2,241 – $11,726
Wisconsin WI39$5,499−6%$2,914 – $9,362
New York NY70$5,164−12%$2,509 – $13,607
West Virginia WV21$4,708−19%$597 – $9,267
Pennsylvania PA42$4,492−23%$600 – $6,655
Minnesota MN31$4,477−23%$1,590 – $5,880
New Jersey NJ44$4,350−26%$3,769 – $5,419
Indiana IN32$4,127−29%$1,470 – $14,729
Alabama AL17$4,098−30%$2,923 – $15,600
Kansas KS15$3,320−43%$1,485 – $7,418
Arkansas AR13$3,080−47%$1,661 – $7,300
Washington WA19$2,834−51%$1,323 – $17,713
Nebraska NE15$2,678−54%$1,591 – $9,918
Michigan MI41$2,323−60%$1,274 – $5,952
Maine ME12$1,847−68%$1,268 – $2,675
Iowa IA37$1,839−69%$1,670 – $5,532
Oregon OR15$1,250−79%$1,130 – $3,038
Arizona AZ9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Delaware DE2not 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 $5,842.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,036$6,499$2,531 – $13,630
Children’s12fewer than 20 hospitals
Critical access205$2,914$1,336 – $8,622
Ownership
For-profit155$8,773$3,600 – $15,762
Government184$3,057$1,441 – $10,377
Non-profit914$5,880$2,241 – $12,207
System affiliation
Part of a system1,013$6,221$2,476 – $12,866
Independent244$4,098$1,323 – $10,171

Cash price vs list price

Median list price (chargemaster)$11,319
Median cash price$5,842
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

741 hospitals filed a usable inpatient cash price for this code. The median is $6,221 and the average of the middle 60% is $6,423; most fall between $1,839 and $12,372.

Cash price percentiles, inpatient, across 741 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
$1,154$2,429$6,221$11,424$19,584

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,154 vs $19,584).

Of the 810 hospitals that filed this code inpatient, 741 gave a usable cash price; 38 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 31 a list price only.

How complete is this

1,257 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,368 hospitals that filed this code at all gave us
Usable cash price — counted1,257
Cash price carrying a plausibility flag — shown on the compare tool, excluded here66
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded38
Hospitals that filed this code1,368

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 Extracorporeal lithotripsy, urinary family.

Hospitals file this code under descriptions such as Lithotripsy Xtrcorp Shock Wave.

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, “Shock wave treatment to break up a kidney stone (CPT 50590) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-50590-shock-wave-treatment-to-break-up-a-kidney-stone