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
$681
Average
$4.8k
Median
$3.8k
High
$22.3k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 9.6× 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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79 hospital rates
iThe hospitals that file a Wellmark 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 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $4.3k | $4.3k | $419 | 10% | 2–20 | $3.8k – $4.7k |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $744 | $681 | $194 | 29% | — | $358 – $876 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $744 | $681 | $194 | 29% | — | $358 – $876 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $744 | $681 | $194 | 29% | — | $358 – $876 |
| 7 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 8 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $744 | $681 | $194 | 29% | — | $358 – $876 |
| 9 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $7.1k | $7.1k | $330 | 5% | — | $6.7k – $7.4k |
| 10 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 11 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 2 | $256 | $229 | $38 | 17% | — | $175 – $256 |
| 12 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 2 | $256 | $229 | $38 | 17% | — | $175 – $256 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 14 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 2 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 17 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 10% | — | $4 – $5 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA facility · other · outpatient | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 19 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · outpatient | 2 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 20 | Mercy Medical Center-Clinton Inc Clinton, IA facility · other · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 3 | $372 | $335 | $106 | 32% | — | $158 – $438 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 3 | $372 | $335 | $106 | 32% | — | $158 – $438 |
| 23 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 24 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
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