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Kidney stone removal (ureteroscopy with laser) in Illinois: what insurers pay

Posted commercial rates at 8 Illinois hospitals, each next to its own Medicare base rate.

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CPT 52356

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$4,9850.9×32026-04-01
Endeavor Health Evanston Hospital Evanston$6,1801.1×32026-04-01
Endeavor Health Edward Hospital Naperville$7,1841.3×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$7,9831.4×22026-04-01
Loyola University Medical Center Maywood$12,4422.2×12026-03-31
University of Chicago Medical Center Chicago$14,4442.5×22026-04-01

CPT 52352

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$3,8111.0×32026-04-01
Endeavor Health Edward Hospital Naperville$4,8461.3×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$5,5441.5×22026-04-01
Endeavor Health Evanston Hospital Evanston$5,6361.5×32026-04-01
University of Chicago Medical Center Chicago$7,6722.0×22026-04-01

MS-DRG 661

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$8,2491.0×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$9,7501.2×32026-04-01
Endeavor Health Edward Hospital Naperville$11,2551.4×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$12,4811.6×32026-04-01
Endeavor Health Evanston Hospital Evanston$14,3291.8×32026-04-01
Loyola University Medical Center Maywood$15,1951.9×42026-03-31
Rush University Medical Center Chicago$15,8562.0×42026-09-25
University of Chicago Medical Center Chicago$19,2582.4×52026-04-01

MS-DRG 660

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$10,5301.0×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$12,7261.3×32026-04-01
Endeavor Health Edward Hospital Naperville$14,6891.4×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$16,2901.6×32026-04-01
Endeavor Health Evanston Hospital Evanston$18,7021.9×32026-04-01
Loyola University Medical Center Maywood$19,8342.0×42026-03-31
Rush University Medical Center Chicago$20,2402.0×42026-09-25
University of Chicago Medical Center Chicago$24,5842.4×52026-04-01

Questions

How much do insurers pay for kidney stone removal (ureteroscopy with laser) in Illinois?

8 Illinois hospitals post usable commercial rates for kidney stone removal (ureteroscopy with laser) in their federal price-transparency files. For CPT 52356, hospital outpatient, the median across 6 hospitals is $7,584, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.