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

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 52356

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7830.9×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,1882.0×72026-01-01
Montefiore Medical Center Bronx$13,7562.1×82026-04-01

CPT 52352

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7831.3×52026-06-10
Montefiore Medical Center Bronx$8,2981.9×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$9,0252.0×72026-01-01

MS-DRG 661

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$10,0931.1×12026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$31,8803.4×62026-01-01
Stony Brook University Hospital Stony Brook$33,0113.5×12026-06-10

MS-DRG 660

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$13,1731.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.8×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$40,6953.4×62026-01-01

Questions

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

3 New York 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 3 hospitals is $13,188, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.