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
Kidney histotripsy w/image
Low
$921
Average
$7.7k
Median
$6.4k
High
$48.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
265 hospitals; the 90th percentile is 4.5× 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.
Filter by billing methodology
Filter by billing class
267 hospital rates
iThe hospitals that file a Aetna 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.6k | $8.9k | $1.3k | 15% | — | $7.0k – $10.0k |
| 2 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 3 | $1.9k | $1.9k | $170 | 9% | — | $1.6k – $2.1k |
| 3 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 3 | $1.9k | $1.9k | $170 | 9% | — | $1.6k – $2.1k |
| 4 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 3 | $1.9k | $1.9k | $170 | 9% | — | $1.6k – $2.1k |
| 5 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 3 | $1.9k | $1.9k | $170 | 9% | — | $1.6k – $2.1k |
| 6 | AdventHealth Porter Denver, CO fee schedule · outpatient | 3 | $1.9k | $1.9k | $170 | 9% | — | $1.6k – $2.1k |
| 7 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 8 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 2 | $5.1k | $5.1k | $567 | 11% | — | $4.5k – $5.7k |
| 9 | Adventhealth Shawnee Mission Lenexa, KS fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Adventhealth South Overland Park Overland Park, KS fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 11 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 12 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 13 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 14 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO case rate · outpatient | 4 | $10.0k | $9.3k | $2.3k | 25% | — | $5.7k – $12.2k |
| 15 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 16 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 19 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 2 | $4.3k | $4.3k | $110 | 3% | — | $4.2k – $4.4k |
| 20 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO case rate · outpatient | 3 | $7.1k | $7.2k | $1.2k | 17% | — | $5.8k – $8.8k |
| 21 | CENTERPOINT MEDICAL CENTER Independence, MO case rate · outpatient | 4 | $10.0k | $9.3k | $2.3k | 25% | — | $5.7k – $12.2k |
| 22 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 23 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 2 | $5.2k | $5.2k | $389 | 7% | — | $4.8k – $5.6k |
| 24 | Chesapeake General Hospital Chesapeake, VA facility · fee schedule · outpatient | 1 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 25 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
← Payers reporting HCPCS C9790 · Snapshot 20261112T124536Z-e251e855