Price AtlasInteractive atlas · All states · techysurgeon.comKidney stone shock-wave treatment (ESWL): what insurers pay
Breaking a kidney stone with shock waves from outside the body. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 50590: Fragmenting of Kidney Stone
99 hospitals in 34 markets. National Medicare rate $3,601, surgery center $1,723.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $9,324–$13,536 |
| Austin TX | 2 | — | — | — | $8,532–$11,412 |
| Boston MA | 7 | $4,836 | $4,944 | $5,560 | $4,509–$5,724 |
| California (statewide) | 1 | — | — | — | $15,558–$15,558 |
| Chicago IL | 6 | $5,294 | $6,756 | $10,062 | $2,143–$14,552 |
| Cleveland OH | 5 | $9,334 | $9,619 | $10,194 | $9,257–$10,235 |
| Dallas-Fort Worth TX | 4 | — | — | — | $9,400–$16,552 |
| Denver CO | 7 | $6,808 | $8,395 | $8,778 | $5,315–$9,346 |
| Detroit MI | 6 | $4,170 | $5,945 | $5,945 | $3,321–$9,407 |
| Georgia (statewide) | 1 | — | — | — | $9,172–$9,172 |
| Houston TX | 1 | — | — | — | $8,408–$8,408 |
| Kansas (statewide) | 1 | — | — | — | $10,910–$10,910 |
| Las Vegas NV | 1 | — | — | — | $5,571–$5,571 |
| Los Angeles CA | 2 | — | — | — | $16,783–$28,632 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $11,329–$11,329 |
| Minneapolis-St. Paul MN | 3 | — | — | — | $8,448–$8,589 |
| Nashville TN | 4 | — | — | — | $5,903–$15,794 |
| New York (statewide) | 1 | — | — | — | $7,737–$7,737 |
| New York City | 2 | — | — | — | $8,715–$13,586 |
| Ohio (statewide) | 1 | — | — | — | $7,356–$7,356 |
| Pennsylvania (statewide) | 1 | — | — | — | $15,220–$15,220 |
| Philadelphia PA | 5 | $10,188 | $12,473 | $15,741 | $9,040–$15,810 |
| Phoenix AZ | 3 | — | — | — | $7,053–$8,900 |
| Pittsburgh PA | 1 | — | — | — | $9,807–$9,807 |
| Portland OR | 6 | $15,831 | $15,831 | $22,374 | $15,831–$24,555 |
| Research Triangle NC | 3 | — | — | — | $6,275–$20,624 |
| Richmond VA | 2 | — | — | — | $9,710–$9,710 |
| San Antonio TX | 1 | — | — | — | $10,312–$10,312 |
| San Francisco Bay Area CA | 2 | — | — | — | $13,012–$17,876 |
| Seattle-Tacoma WA | 6 | $12,326 | $12,391 | $12,882 | $9,999–$13,932 |
| St. Louis MO | 3 | — | — | — | $7,502–$10,463 |
| Tampa FL | 2 | — | — | — | $8,481–$9,649 |
| Washington DC | 3 | — | — | — | $9,144–$9,740 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Loyola University Medical Center | Chicago IL | $2,143 | 0.6× | 1 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $3,321 | 0.9× | 1 | 2025-12-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,579 | 1.0× | 1 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $4,509 | 1.1× | 3 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $4,752 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $4,919 | 1.2× | 4 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,944 | 1.2× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $5,096 | 1.4× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $5,315 | 1.4× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $5,315 | 1.4× | 4 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $5,457 | 1.3× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $5,571 | 1.5× | 7 | 2026-07-01 |
| Beverly Hospital Corporation | Boston MA | $5,662 | 1.3× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $5,724 | 1.4× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,890 | 1.6× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $5,903 | 1.8× | 8 | 2025-10-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,945 | 1.7× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,945 | 1.7× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,945 | 1.7× | 1 | 2026-05-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $6,275 | 1.8× | 1 | 2026-02-25 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 1.9× | 3 | 2026-01-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $7,053 | 1.9× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $7,053 | 1.9× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $7,356 | 2.1× | 4 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $7,502 | 2.1× | 3 | 2026-06-04 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $7,621 | 2.0× | 3 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $7,737 | 1.8× | 5 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $7,801 | 2.2× | 3 | 2026-06-10 |
| HCA HealthONE Swedish | Denver CO | $8,302 | 2.2× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $8,395 | 2.3× | 4 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $8,408 | 2.4× | 4 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $8,448 | 2.3× | 5 | 2026-06-17 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $8,475 | 2.3× | 6 | 2026-06-16 |
| Morton Plant Hospital | Tampa FL | $8,481 | 2.3× | 3 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $8,532 | 2.4× | 4 | 2026-01-01 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $8,589 | 2.3× | 5 | 2026-06-16 |
| Hca Healthone Rose | Denver CO | $8,629 | 2.3× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $8,715 | 2.0× | 8 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $8,900 | 2.4× | 4 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $8,926 | 2.4× | 4 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $8,997 | 2.7× | 3 | 2026-01-01 |
| Bryn Mawr Hospital | Philadelphia PA | $9,040 | 2.5× | 1 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $9,144 | 2.5× | 5 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,172 | 3.0× | 3 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $9,257 | 2.8× | 3 | 2026-07-14 |
| Emory University Hospital | Atlanta GA | $9,324 | 2.6× | 6 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $9,334 | 2.8× | 4 | 2026-06-15 |
| UCHealth University of Colorado Hospital | Denver CO | $9,346 | 2.5× | 3 | 2025-11-01 |
| Medical City Plano | Dallas-Fort Worth TX | $9,400 | 2.6× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,400 | 2.6× | 5 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $9,407 | 2.7× | 1 | 2026-09-02 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $9,440 | 2.7× | 3 | 2026-06-29 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $9,619 | 2.9× | 3 | 2026-06-15 |
| Tampa General Hospital | Tampa FL | $9,649 | 2.6× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,710 | 2.8× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $9,710 | 2.8× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $9,740 | 2.7× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $9,740 | 2.7× | 5 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $9,807 | 2.9× | 1 | 2026-03-06 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $9,914 | 2.9× | 4 | 2026-01-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $9,999 | 2.4× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $10,188 | 2.8× | 1 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $10,194 | 3.1× | 4 | 2026-06-16 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $10,235 | 3.1× | 3 | 2026-06-15 |
| Methodist Hospital | San Antonio TX | $10,312 | 2.9× | 5 | 2026-09-01 |
| Mercy Hospital Jefferson | St. Louis MO | $10,463 | 3.0× | 3 | 2026-06-10 |
| Endeavor Health Evanston Hospital | Chicago IL | $10,876 | 2.9× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $10,910 | 3.3× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $11,329 | 3.1× | 1 | 2026-06-15 |
| St David's Medical Center | Austin TX | $11,412 | 3.2× | 5 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $12,326 | 3.0× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $12,326 | 3.0× | 6 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $12,456 | 3.0× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $12,473 | 3.1× | 3 | 2026-09-15 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $13,012 | 2.6× | 2 | 2026-03-23 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $13,024 | 3.2× | 7 | 2026-08-27 |
| Piedmont Atlanta Hospital | Atlanta GA | $13,536 | 3.8× | 5 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $13,536 | 3.8× | 5 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $13,536 | 3.8× | 5 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $13,586 | 3.1× | 7 | 2026-01-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $13,932 | 3.4× | 6 | 2026-08-27 |
| University of Chicago Medical Center | Chicago IL | $14,552 | 3.9× | 2 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $15,220 | 4.3× | 7 | 2026-07-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $15,558 | 3.4× | 4 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $15,654 | 4.4× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $15,741 | 4.3× | 3 | 2026-09-15 |
| TriStar StoneCrest Medical Center | Nashville TN | $15,794 | 4.7× | 5 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $15,810 | 4.0× | 3 | 2026-03-24 |
| Legacy Emanuel Medical Center | Portland OR | $15,831 | 4.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $15,831 | 4.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $15,831 | 4.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $15,831 | 4.0× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $16,552 | 4.7× | 3 | 2026-04-21 |
| Keck Hospital Of Usc | Los Angeles CA | $16,783 | 3.7× | 5 | 2026-04-01 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $17,876 | 3.6× | 4 | 2026-03-23 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $20,624 | 5.9× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $24,555 | 6.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $24,555 | 6.3× | 3 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $28,632 | 6.3× | 1 | 2025-11-26 |
Questions
How much do commercial insurers pay hospitals for kidney stone shock-wave treatment (eswl)?
Across 99 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 50590, hospital outpatient is $9,400, 2.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,562 to $12,743. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for kidney stone shock-wave treatment (eswl)?
Medicare's national hospital outpatient rate for CPT 50590 is $3,601 and its surgery-center rate is $1,723, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for kidney stone shock-wave treatment (eswl)?
Lowest medians: Loyola University Medical Center ($2,143), Mclaren Port Huron ($3,321), Henry Ford Health Rochester Hospital ($3,579). Highest: Cedars-Sinai Medical Center ($28,632), Providence Portland Medical Center ($24,555), Providence St Vincent Medical Center ($24,555). Coverage is limited to the markets listed on this page.