Shock wave crushing of kidney stones
Medicare pricing data for 5,427 providers across 50 states
This procedure has a 6.0x markup — hospitals charge $4,212 but Medicare allows only $701.92. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Shock wave crushing of kidney stones (HCPCS code 50590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $701.92, but hospitals typically charge $4,212 — a 6.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $701.92, your out-of-pocket cost would be approximately $140.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $555.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $973 | $5,080 | 70 | 1,285 | +38.6% |
| Delaware | $917 | $5,063 | 22 | 566 | +30.6% |
| California | $852 | $5,194 | 474 | 3,427 | +21.4% |
| New Jersey | $828 | $6,946 | 251 | 2,537 | +18.0% |
| Massachusetts | $803 | $3,995 | 120 | 1,323 | +14.4% |
| Colorado | $789 | $6,669 | 91 | 724 | +12.4% |
| Hawaii | $786 | $3,399 | 9 | 33 | +12.0% |
| New York | $783 | $4,577 | 312 | 1,587 | +11.6% |
| Florida | $756 | $6,038 | 496 | 4,047 | +7.6% |
| Connecticut | $749 | $5,147 | 65 | 360 | +6.7% |
| Virginia | $746 | $3,554 | 121 | 1,098 | +6.3% |
| Alaska | $745 | $9,207 | 12 | 52 | +6.1% |
| Rhode Island | $736 | $2,677 | 15 | 104 | +4.8% |
| New Hampshire | $734 | $4,302 | 25 | 130 | +4.6% |
| Illinois | $727 | $4,231 | 197 | 1,808 | +3.5% |
| Georgia | $723 | $4,493 | 186 | 1,660 | +3.0% |
| Pennsylvania | $721 | $3,166 | 198 | 1,517 | +2.7% |
| Oregon | $704 | $3,118 | 43 | 146 | +0.2% |
| Ohio | $703 | $3,791 | 210 | 2,012 | +0.2% |
| Utah | $702 | $4,835 | 47 | 620 | +0.0% |
| Missouri | $696 | $5,434 | 127 | 1,330 | -0.9% |
| Iowa | $687 | $3,893 | 58 | 486 | -2.2% |
| Puerto Rico | $678 | $1,109 | 32 | 92 | -3.4% |
| Texas | $655 | $4,066 | 396 | 2,624 | -6.8% |
| Nebraska | $654 | $3,670 | 39 | 443 | -6.8% |
| Kansas | $646 | $3,868 | 53 | 554 | -7.9% |
| Michigan | $643 | $2,180 | 145 | 903 | -8.4% |
| Montana | $638 | $3,165 | 26 | 201 | -9.1% |
| Indiana | $638 | $5,015 | 147 | 1,617 | -9.2% |
| Arizona | $620 | $3,090 | 140 | 1,828 | -11.6% |
| South Carolina | $604 | $3,402 | 90 | 1,360 | -13.9% |
| Tennessee | $599 | $3,079 | 140 | 1,247 | -14.7% |
| Washington | $597 | $2,125 | 111 | 874 | -15.0% |
| New Mexico | $591 | $2,985 | 16 | 123 | -15.8% |
| Mississippi | $591 | $3,705 | 63 | 1,491 | -15.9% |
| Nevada | $580 | $2,579 | 21 | 243 | -17.4% |
| Wisconsin | $577 | $8,086 | 77 | 400 | -17.8% |
| Minnesota | $569 | $2,374 | 49 | 151 | -18.9% |
| North Carolina | $566 | $1,932 | 192 | 1,135 | -19.4% |
| Wyoming | $549 | $4,470 | 7 | 36 | -21.8% |
| North Dakota | $547 | $3,146 | 10 | 24 | -22.1% |
| Kentucky | $545 | $2,018 | 50 | 519 | -22.4% |
| Vermont | $544 | $2,664 | 11 | 56 | -22.5% |
| West Virginia | $543 | $1,966 | 25 | 226 | -22.6% |
| Louisiana | $538 | $2,454 | 99 | 758 | -23.3% |
| South Dakota | $536 | $2,291 | 18 | 99 | -23.6% |
| Oklahoma | $535 | $1,501 | 80 | 1,111 | -23.8% |
| Alabama | $529 | $2,023 | 88 | 767 | -24.7% |
| Idaho | $527 | $1,314 | 29 | 178 | -25.0% |
| Arkansas | $522 | $1,787 | 46 | 547 | -25.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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