Kidney stone shock-wave (lithotripsy) is a surgical procedure. Prices are from 1575 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $6,467 — about 8.5× the Medicare rate ($760). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,520).
💡 Asking for the cash price instead of the $12,599 list price could save about $6,132 (49%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Contra Costa Regional Medical Center | Martinez, CA | $988 | — | ★ 4/5 | 171 min | — |
| Unity Health-Jacksonville | Jacksonville, AR | $994 | — | — | 130 min | — |
| Unity Health-Newport | Newport, AR | $994 | — | — | 103 min | — |
| University of Illinois Hospital and Clinics | Chicago, IL | $1,007 | $812 | ★ 4/5 | 298 min | — |
| John H Stroger Jr Hospital | Chicago, IL | $1,011 | $794 | ★ 2/5 | 293 min | — |
| Provident Hospital of Chicago | Chicago, IL | $1,011 | $794 | — | 190 min | — |
| Henry County Hospital, Inc | Napoleon, OH | $1,015 | $1,353 | ★ 2/5 | 104 min | — |
| Mark Twain Medical Center | San Andreas, CA | $1,034 | $1,123 | ★ 3/5 | 123 min | — |
| Island Hospital | Anacortes, WA | $1,074 | $4,241 | ★ 4/5 | 204 min | — |
| University Medical Center | Las Vegas, NV | $1,096 | $842 | ★ 2/5 | 238 min | — |
| Legacy Emanuel Medical Center | Portland, OR | $1,130 | — | ★ 3/5 | 170 min | — |
| Legacy Good Samaritan Medical Center | Portland, OR | $1,130 | — | ★ 4/5 | 183 min | — |
| Legacy Mount Hood Medical Center | Gresham, OR | $1,130 | — | ★ 3/5 | 154 min | — |
| Legacy Meridian Park Medical Center | Tualatin, OR | $1,130 | — | ★ 2/5 | 177 min | — |
| Olympic Medical Center | Port Angeles, WA | $1,136 | $1,420 | ★ 3/5 | 251 min | — |
| Healdsburg Hospital | Healdsburg, CA | $1,146 | $9,511 | — | 94 min | — |
| Montgomery General Hospital | Montgomery, WV | $1,159 | $4,862 | — | 100 min | — |
| CHI St Alexius Health Williston | Williston, ND | $1,179 | $1,666 | ★ 3/5 | 156 min | — |
| Elkview General Hospital | Hobart, OK | $1,256 | $2,387 | — | — | — |
| Down East Community Hospital | Machias, ME | $1,268 | $1,487 | ★ 4/5 | 195 min | — |
| Citizens Memorial Hospital | Bolivar, MO | $1,272 | $3,763 | ★ 3/5 | 186 min | — |
| Wyandot Memorial Hospital | Upper Sandusky, OH | $1,297 | $2,934 | ★ 5/5 | 132 min | — |
| Gifford Medical Center | Randolph, VT | $1,304 | $2,080 | ★ 5/5 | — | — |
| Memorial Hospital of Lafayette County | Darlington, WI | $1,305 | $888 | — | 106 min | — |
| York Hospital | York, ME | $1,371 | — | ★ 4/5 | 166 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Kidney stone shock-wave (lithotripsy)
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $6,467; Medicare pays $760.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 178 |
$125 – $3,358 |
| Univera | 8 |
$42 – $675 |
| Geisinger | 40 |
$362 – $4,536 |
| Amerigroup | 111 |
$1,143 – $3,718 |
| AmeriHealth | 149 |
$271 – $7,501 |
| Sanford Health Plan | 27 |
$528 – $6,107 |
| Medicare | 299 |
$239 – $4,978 |
| UCare | 37 |
$416 – $3,654 |
| Medica | 64 |
$523 – $12,803 |
| Priority Health | 31 |
$468 – $9,998 |
| HealthPartners | 112 |
$390 – $7,436 |
| Molina Healthcare | 399 |
$509 – $4,533 |
| Centene / Ambetter | 573 |
$1,200 – $4,167 |
| Highmark | 92 |
$273 – $12,679 |
| Harvard Pilgrim | 24 |
$1,389 – $9,860 |
| Tricare / VA | 211 |
$280 – $9,846 |
| Security Health Plan | 25 |
$528 – $10,530 |
| Devoted Health | 107 |
$760 – $3,890 |
| Humana | 683 |
$536 – $11,033 |
| Coventry | 68 |
$732 – $17,623 |
| UPMC Health Plan | 60 |
$510 – $9,519 |
| Anthem | 413 |
$505 – $12,679 |
| MVP Health Care | 49 |
$554 – $9,998 |
| Independent Health | 15 |
$1,482 – $5,414 |
| Health Net | 168 |
$431 – $12,177 |
| Kaiser Permanente | 159 |
$413 – $14,173 |
| UnitedHealthcare | 1008 |
$760 – $15,075 |
| SelectHealth | 36 |
$1,449 – $10,022 |
| EmblemHealth | 57 |
$1,775 – $27,809 |
| Blue Cross Blue Shield | 861 |
$426 – $14,687 |
| Bright Health | 40 |
$3,520 – $7,130 |
| Oscar Health | 169 |
$1,000 – $8,560 |
| Workers' Comp / No-Fault | 52 |
$701 – $12,451 |
| Aetna | 991 |
$744 – $17,197 |
| Cigna | 761 |
$1,449 – $16,489 |
| MultiPlan / PHCS network | 342 |
$1,323 – $26,689 |
| Healthcare Highways | 30 |
$8,517 – $10,342 |
| AvMed | 37 |
$2,450 – $17,074 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Oregon | $1,669 |
| Iowa | $1,839 |
| Maine | $1,847 |
| Vermont | $1,947 |
| North Dakota | $1,954 |
| Montana | $2,122 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Glen Diacon, MD | Urology | Ada, OK | 251 |
| Jeffrey Clark, M.D. | Urology | Brookhaven, MS | 143 |
| Benjamin Gibson, MD | Urology | Cambridge, OH | 131 |
| Michael Zachareas, M.D. | Urology | Beverly, MA | 112 |
| Paul Jo, MD | Urology | Ocala, FL | 110 |
| John Danneberger, M.D. | Urology | Annapolis, MD | 103 |
| Mark Byron, MD | Urology | Jesup, GA | 103 |
| Joel Duff, MD | Urology | Brookhaven, MS | 101 |
| Stephan Sweitzer, MD | Urology | Jeffersonville, IN | 98 |
| Nelson Ploch, M.D. | Urology | North Charleston, SC | 97 |
| Manas Jain, MD | Urology | Bremerton, WA | 95 |
| Dennis Smith, MD | Urology | Jeffersonville, IN | 84 |
Does Medicare cover Kidney stone shock-wave (lithotripsy)?
Yes — Medicare generally covers Kidney stone shock-wave (lithotripsy). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $760. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $152 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 1575 US hospitals across 52 states, the typical (median) cash price is $6,467, versus a chargemaster (list) price around $12,599, a median insurer-negotiated rate of $4,171, a Medicare rate of about $760. Most cash prices fall between $1,840 and $17,230 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Kidney stone shock-wave (lithotripsy) cost without insurance?
Does Medicare cover Kidney stone shock-wave (lithotripsy)?
What does Medicare pay for Kidney stone shock-wave (lithotripsy)?
Why do Kidney stone shock-wave (lithotripsy) prices vary between hospitals?
Is the cash price lower than using insurance?
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