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
Litholapaxy Smpl/Sm <2.5 Cm
Low
$138
Average
$3.1k
Median
$3.5k
High
$22k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 16.8× 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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130 hospital rates
iThe hospitals that file a Medicare 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 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 4 | $171 | $626 | $788 | 126% | 19–37 | $171 – $2.0k |
| 2 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $3.6k | $3.6k | — | — | 2–20 | $3.6k – $3.6k |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $835 | $835 | — | — | 1–10 | $835 – $835 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN other · outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 1 | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 7 | John Muir Health Concord, CA other · outpatient | 3 | $6.3k | $6.3k | $1.3k | 21% | 1–10 | $5.0k – $7.6k |
| 8 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · outpatient | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 9 | MVHS, Inc. Utica, NY other · outpatient | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 10 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 14 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 15 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 16 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 17 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 18 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 19 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $870 | $870 | — | — | 1–10 | $870 – $870 |
| 20 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 21 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $871 | $871 | — | — | 1–10 | $871 – $871 |
| 22 | Tufts Medical Center BOSTON, MA other · both | 1 | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $283 | 20% | — | $1.2k – $1.7k |
| 25 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
← Payers reporting CPT 52317 · Snapshot 20261111T120946Z-9134e7f7