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
CYSTOURETERO W/LITHOTRIPSY
Austin, TX
See all hospitals reporting CPT 52353 →Price type
Ascension Seton’s median price of $1.7k is 69% below the median hospital's median price ($5.5k), higher than 18% of the 1,945 hospitals reporting CPT 52353. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 45 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana 206_humana hmo custom 20140201 other · outpatient | $969 | $969 | — | — | — | $969 – $969 |
| 2 | Oscar 4511_oscar health plan 20251001 other · both | $1k | $1k | — | — | — | $1k – $1k |
| 3 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Blue Cross Blue Shield 4175_blue cross chip (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Blue Cross Blue Shield 4175_blue cross chip/star kids (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Blue Cross Blue Shield 4226_chirp blue cross star (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Blue Cross Blue Shield 5017_blue cross star kids (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | UnitedHealthcare 4260_chirp uhc star (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | UnitedHealthcare 4271_chirp uhc star plus (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | UnitedHealthcare 4318_uhc star kids (sw) outpatient 20241201 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 19 | Humana 415_humana exchange (chi,dcn) 20160101 case rate · both | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Humana 387_humana exchange 20160101 case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 21 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 24 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 case rate · both | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 25 | Superior Healthplan 3516_chirp superior star (sw) inpatient 20240901 case rate · both | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
Last updated: Jan 1, 2026
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