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, litho, vacuum kidney
Low
$3.1k
Average
$16.5k
Median
$15.6k
High
$34.0k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 10.2× 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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13 hospital rates
iThe hospitals that file a Excellus 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 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $26.9k | $26.9k | $5.8k | 21% | — | $21.1k – $32.6k |
| 2 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $16.7k | $15.6k | $1.5k | 10% | — | $13.4k – $16.7k |
| 3 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $7.2k | $7.2k | $3.9k | 54% | — | $3.3k – $11.1k |
| 6 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $34.0k | $34.0k | — | — | — | $34.0k – $34.0k |
| 7 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 8 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $33.0k | $33.0k | $21.2k | 64% | — | $11.8k – $54.2k |
| 9 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · outpatient | 1 | $7.2k | $7.2k | $3.9k | 54% | — | $3.3k – $11.1k |
| 12 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $28.4k | $28.4k | — | — | — | $28.4k – $28.4k |
| 13 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $20.8k | $19.2k | $2.3k | 12% | — | $15.9k – $20.8k |
← Payers reporting HCPCS C9761 · Snapshot 20261111T120946Z-9134e7f7