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

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 52356

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$6,1801.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,5391.2×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,6301.8×32026-09-15

CPT 52352

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$5,5671.5×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,8401.6×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$6,6661.9×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,6302.7×32026-09-15
Lehigh Valley Hospital Allentown$10,3962.9×82026-07-01

MS-DRG 661

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$18,1402.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$19,6762.6×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$19,6922.8×12026-03-06
Lehigh Valley Hospital Allentown$21,6502.9×52026-07-01
Thomas Jefferson University Hospital Philadelphia$25,3763.4×52026-09-15

MS-DRG 660

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$23,3222.4×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$24,0552.6×12026-03-06
Bryn Mawr Hospital Bryn Mawr$25,1172.6×42026-04-01
Lehigh Valley Hospital Allentown$26,4482.8×52026-07-01
Thomas Jefferson University Hospital Philadelphia$32,3933.4×52026-09-15

Questions

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

5 Pennsylvania 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 $6,539, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.