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
Cysto W/Ureteroscopy W/Lithotripsy
Low
$481
Average
$5.4k
Median
$4.5k
High
$18.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 4.3× 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 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 401 | $6.5k | $8.4k | $5.7k | 69% | 57–156 | $1 – $45.5k |
| 2 | Humana fee schedule · outpatient · +28 other terms | 407 | $5.1k | $4.4k | $2.2k | 49% | 34–178 | $1 – $16.7k |
| 3 | Aetna fee schedule · outpatient · +29 other terms | 552 | $5.6k | $6.3k | $4.7k | 74% | 32–320 | $1 – $48.0k |
| 4 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 591 | $5.1k | $6.3k | $8.6k | 137% | 25–250 | $1 – $149.4k |
| 5 | Cigna case rate · outpatient · +23 other terms | 365 | $8.4k | $8.9k | $5.0k | 56% | 16–160 | $1 – $30.9k |
| 6 | Medica fee schedule · outpatient · +16 other terms | 30 | $1.9k | $3.3k | $3.1k | 93% | 6–60 | $319 – $10.2k |
| 7 | Molina fee schedule · outpatient · +26 other terms | 244 | $3.1k | $3.2k | $2.7k | 84% | 3–30 | $1 – $16.9k |
| 8 | Kaiser fee schedule · outpatient · +21 other terms | 99 | $6.5k | $7.6k | $6.7k | 88% | 3–30 | $30 – $37.0k |
| 9 | Bcbs La fee schedule · outpatient · +3 other terms | 25 | $8.9k | $8.7k | $2.2k | 25% | 3–30 | $362 – $12.2k |
| 10 | Amerihealth Caritas case rate · outpatient · +12 other terms | 33 | $700 | $3.3k | $3.4k | 103% | 2–20 | $662 – $9.5k |
| 11 | Medicaid fee schedule · outpatient · +12 other terms | 20 | $354 | $1.2k | $1.2k | 98% | 2–20 | $1 – $2.7k |
| 12 | Bcbs Al facility · other · outpatient · +5 other terms | 3 | $4.3k | $4.5k | $431 | 10% | 2–20 | $4.1k – $5.1k |
| 13 | Anthem fee schedule · outpatient · +23 other terms | 130 | $3.5k | $3.8k | $5.9k | 158% | 1–10 | $124 – $39.2k |
| 14 | Bcbs In other · outpatient | 5 | $18.1k | $16.9k | $2.9k | 17% | 1–10 | $12.6k – $19.6k |
| 15 | WellCare fee schedule · outpatient · +19 other terms | 214 | $5.5k | $5.4k | $2.0k | 37% | — | $349 – $11.9k |
| 16 | Oscar case rate · outpatient · +20 other terms | 136 | $7.9k | $8.2k | $2.1k | 25% | — | $5.2k – $11.5k |
| 17 | Ambetter fee schedule · outpatient · +18 other terms | 95 | $8.7k | $7.3k | $3.7k | 50% | — | $494 – $12.9k |
| 18 | Aetna Better Health fee schedule · outpatient · +12 other terms | 82 | $2.1k | $2.4k | $1.6k | 67% | — | $307 – $17.9k |
| 19 | Devoted fee schedule · outpatient · +11 other terms | 80 | $5.3k | $4.8k | $1.6k | 34% | — | $361 – $6.0k |
| 20 | Healthcare Highways case rate · outpatient · +3 other terms | 76 | $7.3k | $8.5k | $2.1k | 25% | — | $2.7k – $12.2k |
| 21 | Caresource fee schedule · outpatient · +16 other terms | 66 | $4.4k | $3.7k | $2.5k | 67% | — | $1 – $9.4k |
| 22 | Tricare fee schedule · outpatient · +19 other terms | 58 | $5.0k | $4.4k | $2.1k | 48% | — | $334 – $6.9k |
| 23 | Superior Healthplan case rate · outpatient · +6 other terms | 56 | $2.6k | $3.0k | $883 | 29% | — | $2.4k – $7.6k |
| 24 | Highmark facility · fee schedule · outpatient · +15 other terms | 50 | $4.8k | $4.9k | $3.7k | 75% | — | $4 – $18.0k |
| 25 | Optum fee schedule · outpatient · +19 other terms | 49 | $4.9k | $4.6k | $4.6k | 101% | — | $349 – $19.8k |
← Hospitals reporting CPT 52353 · Snapshot 20261111T120946Z-9134e7f7