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
$413
Average
$10.9k
Median
$10.2k
High
$43.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
381 hospitals; the 90th percentile is 10.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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617 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Santa Monica UCLA Medical Center and Orthopaedic Hospital Santa Monica, CA case rate · outpatient | 1 | $10.9k | $10.9k | — | — | 35 | $10.9k – $10.9k |
| 2 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 5 | $23.6k | $22.9k | $10.3k | 45% | 2–20 | $9.2k – $37.9k |
| 3 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 5 | $23.2k | $22.7k | $10.1k | 44% | 2–20 | $9.2k – $37.3k |
| 4 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $21.7k | $21.7k | — | — | 1–10 | $21.7k – $21.7k |
| 5 | John Muir Health Concord, CA case rate · outpatient | 4 | $21.2k | $21.7k | $3.0k | 14% | 1–10 | $19.3k – $27.5k |
| 6 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 1 | $11.2k | $11.2k | — | — | 1–10 | $11.2k – $11.2k |
| 7 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $13.1k | $13.1k | $1.9k | 14% | 1–10 | $11.3k – $15k |
| 8 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $22.6k | $19.3k | $7.5k | 39% | — | $9.0k – $26.5k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $1.6k | $1.6k | $770 | 49% | — | $617 – $2.3k |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $10.8k | $10.8k | $1.8k | 16% | — | $9.0k – $12.5k |
| 13 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $8.9k | $8.9k | $3.1k | 35% | — | $5.1k – $12.7k |
| 14 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 15 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $1.0k | $1.2k | $549 | 47% | — | $531 – $2.0k |
| 16 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $25.0k | $25.5k | $3.2k | 13% | — | $22.0k – $30.1k |
| 17 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 18 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $23.8k | $21.0k | $8.6k | 41% | — | $9.2k – $29.8k |
| 20 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $41.1k | $41.1k | — | — | — | $41.1k – $41.1k |
| 21 | Anderson Hospital Maryville, IL facility · case rate · outpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 22 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $726 | $726 | — | — | — | $726 – $726 |
| 23 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $726 | $726 | — | — | — | $726 – $726 |
| 24 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $726 | $726 | — | — | — | $726 – $726 |
| 25 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $613 | $613 | — | — | — | $613 – $613 |
← Payers reporting CPT 50080 · Snapshot 20261111T120946Z-9134e7f7