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: Kidney Stone Shock-Wave Treatment (Eswl)
1182 hospitals in 80 markets. National Medicare rate $3,601, surgery center $1,723.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 14 | $4,052 | $4,368 | $5,348 | $2,986–$7,280 |
| Alaska (statewide) | 5 | $3,912 | $8,581 | $12,944 | $2,052–$17,492 |
| Arizona (statewide) | 8 | $3,982 | $8,452 | $11,604 | $2,342–$25,885 |
| Arkansas (statewide) | 8 | $3,693 | $4,294 | $4,947 | $3,122–$6,078 |
| Atlanta GA | 10 | $9,324 | $10,437 | $13,536 | $9,324–$13,536 |
| Austin TX | 13 | $7,224 | $8,636 | $11,412 | $7,224–$11,456 |
| Boston MA | 11 | $5,188 | $5,613 | $5,878 | $3,495–$7,015 |
| California (statewide) | 57 | $6,316 | $10,176 | $13,052 | $4,474–$24,453 |
| Charlotte NC | 6 | $4,100 | $4,100 | $4,100 | $4,045–$21,474 |
| Chicago IL | 9 | $5,890 | $8,382 | $14,552 | $2,143–$14,716 |
| Cleveland OH | 11 | $7,363 | $8,884 | $9,614 | $6,670–$10,024 |
| Colorado (statewide) | 16 | $5,260 | $7,667 | $10,935 | $2,348–$15,005 |
| Columbus OH | 1 | — | — | — | $12,679–$12,679 |
| Connecticut (statewide) | 3 | — | — | — | $6,278–$14,687 |
| Dallas-Fort Worth TX | 14 | $8,636 | $9,527 | $9,654 | $8,636–$19,407 |
| Denver CO | 15 | $6,133 | $10,272 | $10,958 | $4,052–$14,892 |
| Detroit MI | 16 | $3,590 | $5,945 | $5,945 | $2,453–$9,407 |
| Florida (statewide) | 69 | $7,666 | $8,481 | $11,379 | $1,973–$20,176 |
| Georgia (statewide) | 46 | $6,027 | $9,554 | $12,091 | $2,985–$23,934 |
| Hawaii (statewide) | 3 | — | — | — | $4,497–$11,532 |
| Houston TX | 19 | $6,728 | $7,650 | $9,297 | $5,142–$10,537 |
| Idaho (statewide) | 15 | $4,266 | $7,828 | $8,760 | $2,404–$10,563 |
| Illinois (statewide) | 33 | $5,010 | $7,055 | $11,452 | $3,988–$14,716 |
| Indiana (statewide) | 40 | $5,940 | $8,942 | $13,278 | $3,449–$20,580 |
| Iowa (statewide) | 17 | $5,526 | $6,692 | $7,465 | $2,660–$16,931 |
| Kansas (statewide) | 15 | $5,802 | $7,706 | $10,284 | $4,220–$17,492 |
| Kentucky (statewide) | 17 | $4,776 | $6,379 | $10,824 | $3,815–$16,060 |
| Las Vegas NV | 1 | — | — | — | $6,935–$6,935 |
| Los Angeles CA | 17 | $10,504 | $10,951 | $11,827 | $6,308–$28,632 |
| Louisiana (statewide) | 24 | $3,909 | $6,016 | $9,015 | $2,931–$11,496 |
| Maine (statewide) | 16 | $14,132 | $16,039 | $16,407 | $7,524–$20,628 |
| Maryland (statewide) | 1 | — | — | — | $4,844–$4,844 |
| Massachusetts (statewide) | 6 | $4,190 | $4,846 | $5,633 | $3,347–$8,460 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $7,502–$8,884 |
| Michigan (statewide) | 27 | $3,462 | $4,050 | $4,764 | $3,245–$6,076 |
| Minneapolis-St. Paul MN | 11 | $7,910 | $8,589 | $9,118 | $6,096–$9,235 |
| Minnesota (statewide) | 12 | $9,118 | $9,499 | $11,378 | $5,760–$15,407 |
| Mississippi (statewide) | 16 | $2,308 | $5,362 | $5,810 | $1,976–$10,011 |
| Missouri (statewide) | 18 | $5,293 | $8,952 | $12,452 | $3,626–$14,398 |
| Montana (statewide) | 3 | — | — | — | $7,050–$10,458 |
| Nashville TN | 8 | $8,622 | $10,757 | $11,634 | $7,107–$11,634 |
| Nebraska (statewide) | 13 | $5,980 | $11,057 | $16,931 | $2,316–$20,299 |
| Nevada (statewide) | 2 | — | — | — | $6,998–$20,677 |
| New Hampshire (statewide) | 6 | $8,196 | $10,341 | $13,462 | $5,488–$15,785 |
| New Jersey (statewide) | 26 | $5,917 | $7,916 | $13,307 | $3,818–$17,827 |
| New Mexico (statewide) | 8 | $6,706 | $9,998 | $14,554 | $3,640–$22,472 |
| New York (statewide) | 33 | $4,493 | $6,318 | $7,763 | $2,342–$14,378 |
| New York City | 7 | $4,493 | $4,493 | $10,101 | $4,493–$11,552 |
| North Carolina (statewide) | 10 | $7,051 | $8,731 | $10,426 | $3,227–$19,175 |
| North Dakota (statewide) | 6 | $6,608 | $8,030 | $9,518 | $1,910–$11,000 |
| Ohio (statewide) | 41 | $7,363 | $8,800 | $11,276 | $2,213–$16,260 |
| Oklahoma (statewide) | 11 | $4,392 | $7,176 | $8,116 | $3,601–$17,827 |
| Oregon (statewide) | 10 | $8,832 | $9,568 | $12,194 | $3,831–$16,126 |
| Pennsylvania (statewide) | 34 | $6,444 | $9,452 | $11,876 | $3,580–$16,215 |
| Philadelphia PA | 11 | $9,156 | $10,013 | $11,330 | $6,378–$16,504 |
| Phoenix AZ | 8 | $7,053 | $7,976 | $9,441 | $7,053–$11,064 |
| Pittsburgh PA | 8 | $4,849 | $5,880 | $7,141 | $4,422–$8,681 |
| Portland OR | 9 | $15,295 | $15,563 | $19,590 | $15,295–$19,590 |
| Research Triangle NC | 4 | — | — | — | $6,275–$19,040 |
| Rhode Island (statewide) | 5 | $4,732 | $6,768 | $8,945 | $4,643–$12,989 |
| Richmond VA | 3 | — | — | — | $9,710–$10,266 |
| Rio Grande Valley TX | 5 | $4,581 | $4,945 | $11,398 | $4,581–$12,436 |
| Salt Lake City UT | 9 | $4,343 | $4,398 | $4,398 | $3,174–$5,854 |
| San Antonio TX | 3 | — | — | — | $5,667–$12,734 |
| San Diego CA | 7 | $7,870 | $7,934 | $7,934 | $7,208–$8,360 |
| San Francisco Bay Area CA | 5 | $6,222 | $11,498 | $12,490 | $6,222–$14,403 |
| Seattle-Tacoma WA | 16 | $9,002 | $10,931 | $11,727 | $7,036–$12,560 |
| South Carolina (statewide) | 17 | $11,976 | $13,806 | $20,341 | $5,919–$21,256 |
| South Dakota (statewide) | 2 | — | — | — | $5,404–$6,906 |
| St. Louis MO | 4 | — | — | — | $6,592–$7,159 |
| Tampa FL | 6 | $8,481 | $8,481 | $8,481 | $6,994–$17,376 |
| Tennessee (statewide) | 28 | $5,702 | $6,083 | $8,790 | $3,396–$11,670 |
| Texas (statewide) | 72 | $6,728 | $8,661 | $12,568 | $3,038–$20,580 |
| Utah (statewide) | 8 | $3,174 | $4,695 | $10,172 | $2,927–$12,212 |
| Vermont (statewide) | 2 | — | — | — | $16,578–$24,328 |
| Virginia (statewide) | 22 | $11,168 | $13,700 | $15,998 | $9,494–$19,480 |
| Washington (statewide) | 11 | $8,900 | $11,106 | $12,646 | $3,678–$17,658 |
| Washington DC | 8 | $9,203 | $9,308 | $9,507 | $8,562–$9,740 |
| West Virginia (statewide) | 7 | $4,858 | $11,458 | $12,735 | $1,817–$23,467 |
| Wisconsin (statewide) | 42 | $7,402 | $11,205 | $12,861 | $2,690–$16,850 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mon Health Medical Center | West Virginia (statewide) | $1,817 | 0.5× | 1 | 2026-04-10 |
| Chi St Alexius Health Williston | North Dakota (statewide) | $1,910 | 0.5× | 3 | 2026-02-28 |
| Baptist Hospital | Florida (statewide) | $1,973 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,973 | 0.5× | 8 | 2025-12-23 |
| Ochsner Rush Hospital | Mississippi (statewide) | $1,976 | 0.7× | 4 | 2026-04-01 |
| Ochsner Watkins Hospital | Mississippi (statewide) | $1,976 | 0.7× | 4 | 2026-04-01 |
| Ochsner Laird Hospital | Mississippi (statewide) | $1,976 | 0.7× | 4 | 2026-04-01 |
| Ochsner Stennis Memorial Hospital | Mississippi (statewide) | $1,976 | 0.7× | 4 | 2026-04-01 |
| Gulf Breeze Hospital | Florida (statewide) | $1,992 | 0.5× | 8 | 2025-12-23 |
| Alaska Native Medical Center | Alaska (statewide) | $2,052 | 0.5× | 1 | 2026-08-20 |
| Loyola University Medical Center | Chicago IL | $2,143 | 0.6× | 1 | 2026-03-31 |
| Nationwide Children'S Hospital | Ohio (statewide) | $2,213 | 0.7× | 1 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $21,374 | 4.7× | 4 | 2026-04-01 |
| Lake Norman Regional Medical Center | Charlotte NC | $21,474 | 6.3× | 2 | 2026-04-01 |
| Los Alamos Medical Center | New Mexico (statewide) | $22,472 | 6.4× | 1 | 2026-07-10 |
| Logan Regional Medical Center | West Virginia (statewide) | $23,467 | 6.9× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $23,934 | 7.1× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $23,934 | 7.8× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $23,934 | 6.8× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $23,934 | 6.8× | 1 | 2026-04-01 |
| Central Vermont Medical Center | Vermont (statewide) | $24,328 | 7.0× | 1 | 2026-04-28 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $24,453 | 5.4× | 5 | 2026-04-01 |
| Benson Hospital | Arizona (statewide) | $25,885 | 6.9× | 1 | 2026-05-13 |
| Cedars-Sinai Medical Center | Los Angeles CA | $28,632 | 6.3× | 1 | 2025-11-26 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for kidney stone shock-wave treatment (eswl)?
Across 1182 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 50590, hospital outpatient is $8,585, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $5,733 to $11,596. 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: Mon Health Medical Center ($1,817), Chi St Alexius Health Williston ($1,910), Baptist Hospital ($1,973). Highest: Cedars-Sinai Medical Center ($28,632), Benson Hospital ($25,885), Providence Queen Of The Valley Medical Center ($24,453). Coverage: every hospital whose price file we could read.