Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Perq Nl/Pl Lithotrp Simple Up to 2 Cm 1 Location
Low
$877
Average
$7.8k
Median
$7.3k
High
$29.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 560 | $9.0k | $8.8k | $12.2k | 139% | 2–20 | $1 – $271.7k |
| 2 | Aetna fee schedule · outpatient · +31 other terms | 499 | $9.4k | $9.5k | $6.9k | 72% | 1–10 | $1 – $63.3k |
| 3 | Humana fee schedule · outpatient · +27 other terms | 387 | $9.2k | $8.0k | $3.9k | 49% | 1–10 | $1 – $27.4k |
| 4 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $12.3k | $12.1k | $3.1k | 25% | 1–10 | $5.5k – $20.4k |
| 5 | Bcbs Al facility · other · outpatient · +4 other terms | 3 | $10.2k | $10.6k | $1.0k | 10% | 1–10 | $9.6k – $12.0k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 372 | $12.1k | $14.9k | $8.6k | 58% | — | $1 – $67.5k |
| 7 | Cigna case rate · outpatient · +24 other terms | 263 | $7.2k | $12.8k | $7.7k | 60% | — | $1 – $30.9k |
| 8 | Molina fee schedule · outpatient · +27 other terms | 232 | $5.2k | $5.7k | $4.5k | 79% | — | $1 – $21.9k |
| 9 | WellCare fee schedule · outpatient · +18 other terms | 199 | $9.6k | $9.4k | $3.8k | 40% | — | $618 – $21.7k |
| 10 | Oscar case rate · outpatient · +19 other terms | 136 | $8.3k | $8.5k | $2.4k | 28% | — | $5.2k – $14.5k |
| 11 | Anthem fee schedule · outpatient · +21 other terms | 130 | $6.4k | $7.1k | $10.8k | 151% | — | $220 – $69.3k |
| 12 | Kaiser fee schedule · outpatient · +24 other terms | 95 | $11.7k | $14.0k | $11.6k | 83% | — | $614 – $67.3k |
| 13 | Ambetter fee schedule · outpatient · +15 other terms | 81 | $16.4k | $13.5k | $6.6k | 49% | — | $885 – $22.8k |
| 14 | Healthcare Highways case rate · outpatient · +3 other terms | 76 | $7.3k | $8.8k | $2.1k | 24% | — | $3.4k – $12.2k |
| 15 | Aetna Better Health fee schedule · outpatient · +14 other terms | 73 | $4.2k | $4.2k | $1.4k | 32% | — | $491 – $10.6k |
| 16 | Devoted fee schedule · outpatient · +9 other terms | 71 | $9.7k | $8.6k | $2.9k | 34% | — | $670 – $10.6k |
| 17 | Caresource fee schedule · outpatient · +14 other terms | 61 | $7.4k | $6.5k | $4.0k | 62% | — | $1 – $16.2k |
| 18 | Optum fee schedule · outpatient · +19 other terms | 48 | $8.6k | $8.2k | $8.3k | 100% | — | $627 – $34.9k |
| 19 | Tricare fee schedule · outpatient · +17 other terms | 47 | $8.8k | $8.5k | $2.5k | 29% | — | $612 – $12.1k |
| 20 | MultiPlan fee schedule · outpatient · +20 other terms | 40 | $14.8k | $14.3k | $2.9k | 20% | — | $1.0k – $26.8k |
| 21 | First Health fee schedule · outpatient · +22 other terms | 38 | $9.9k | $8.9k | $6.2k | 69% | — | $664 – $23.3k |
| 22 | Superior Healthplan case rate · outpatient · +6 other terms | 38 | $948 | $1.3k | $2.2k | 167% | — | $929 – $13.9k |
| 23 | Highmark facility · fee schedule · outpatient · +14 other terms | 36 | $10.8k | $10.7k | $8.5k | 79% | — | $206 – $41.9k |
| 24 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 35 | $3.5k | $6.0k | $3.4k | 57% | — | $627 – $10.1k |
| 25 | Amerihealth Caritas case rate · outpatient · +10 other terms | 34 | $496 | $3.4k | $3.5k | 104% | — | $468 – $9.5k |
← Hospitals reporting CPT 50080 · Snapshot 20261111T120946Z-9134e7f7