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
$1
Average
$8.8k
Median
$8.4k
High
$65.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1428 hospitals; the 90th percentile is 5.9× 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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2,208 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $77.4k | $78.4k | $3.1k | 4% | 80 | $77.4k – $87.1k |
| 2 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $7.3k | $7.3k | $385 | 5% | 32 | $6.9k – $7.7k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $52.8k | $60.5k | $21.0k | 35% | 3–30 | $39.6k – $89.2k |
| 4 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $37.1k | $41.3k | $13.0k | 31% | 3–30 | $27.9k – $58.8k |
| 5 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 6 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 7 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 8 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $71.3k | $71.3k | — | — | 2–20 | $71.3k – $71.3k |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 2 | $3.9k | $3.9k | — | — | 2–20 | $3.9k – $3.9k |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 11 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.5k | $11.5k | — | — | 1–10 | $11.5k – $11.5k |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $12.4k | $12.4k | — | — | 1–10 | $12.4k – $12.4k |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 2 | $7.5k | $7.5k | $2.0k | 27% | 1–10 | $5.5k – $9.5k |
| 14 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $9.4k | $9.4k | — | — | 1–10 | $9.4k – $9.4k |
| 15 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $6.4k | $6.2k | $580 | 9% | 1–10 | $5.4k – $7.0k |
| 16 | Duke University Hospital Durham, NC facility · case rate · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 17 | Duke University Hospital Raleigh, NC facility · case rate · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 18 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $10.0k | $10.0k | — | — | 1–10 | $10.0k – $10.0k |
| 19 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 1 | $39.7k | $39.7k | — | — | 1–10 | $39.7k – $39.7k |
| 20 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
| 21 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 2 | $8.7k | $8.7k | — | — | 1–10 | $8.7k – $8.7k |
| 22 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $77.4k | $77.4k | — | — | 1–10 | $77.4k – $77.4k |
| 23 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR fee schedule · outpatient | 1 | $10.4k | $10.4k | — | — | 1–10 | $10.4k – $10.4k |
| 24 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA case rate · outpatient | 1 | $4.5k | $4.5k | $4.0k | 89% | 1–10 | $481 – $8.5k |
| 25 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI fee schedule · outpatient | 1 | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
← Payers reporting CPT 50080 · Snapshot 20261112T181611Z-3fa9fb76