CPT 50390
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
CT CYST ASP. RENAL/PELVIS
Low
$1
Average
$1.7k
Median
$1.3k
High
$51.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1776 hospitals; the 90th percentile is 7.0× 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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3,251 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $92 | $92 | — | — | 953 | $92 – $92 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $92 | $92 | — | — | 602 | $92 – $92 |
| 3 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $8.8k | $8.9k | $4.3k | 48% | 7–70 | $3.0k – $14.4k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $496 | $496 | $165 | 33% | 2–20 | $331 – $662 |
| 5 | Carilion New River Valley Medical Center Christiansburg, VA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | $309 | 19% | 2–20 | $1.2k – $2.0k |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 3 | $696 | $854 | $224 | 26% | 2–20 | $696 – $1.2k |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 3 | $696 | $854 | $224 | 26% | 2–20 | $696 – $1.2k |
| 8 | Northwestern Lake Forest Hospital Grayslake, IL per diem · outpatient | 2 | $242 | $242 | $13 | 5% | 2–20 | $229 – $255 |
| 9 | Northwestern Medicine Central DuPage Hospital Winfield, IL per diem · outpatient | 2 | $238 | $238 | $34 | 14% | 2–20 | $204 – $272 |
| 10 | Northwestern Medicine Delnor Hospital Geneva, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 2–20 | $220 – $244 |
| 11 | Northwestern Memorial Hospital Chicago, IL per diem · outpatient | 2 | $218 | $218 | $11 | 5% | 2–20 | $207 – $229 |
| 12 | Palos Community Hospital Palos Heights, IL per diem · outpatient | 2 | $232 | $232 | $12 | 5% | 2–20 | $220 – $244 |
| 13 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | $3.4k | 63% | 2–20 | $2.0k – $8.8k |
| 14 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $2.1k | $2.3k | $1.4k | 63% | 2–20 | $710 – $4.8k |
| 15 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $701 | $531 | $307 | 58% | 2–20 | $0 – $722 |
| 16 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 17 | Barnes Jewish Hospital St. Louis, MO other · outpatient | 1 | $2.3k | $2.3k | $1.6k | 69% | 1–10 | $709 – $3.9k |
| 18 | Fairview Health Services Edina, MN other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 19 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 20 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $6.8k | $6.8k | $3.7k | 55% | 1–10 | $3.0k – $10.5k |
| 21 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $3.7k | $7.0k | $6.5k | 93% | 1–10 | $2.2k – $18.1k |
| 22 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $8.1k | $3.7k | 45% | 1–10 | $4.5k – $11.8k |
| 23 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 2 | $1.7k | $1.7k | $983 | 58% | 1–10 | $704 – $2.7k |
| 24 | Renown South Meadows Medical Center Reno, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $458 | $458 | — | — | 1–10 | $458 – $458 |
| 25 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI fee schedule · outpatient | 1 | $674 | $674 | — | — | 1–10 | $674 – $674 |
← Payers reporting CPT 50390 · Snapshot 20261113T090226Z-3ce6c0b8