Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (CPT 50957)
50957 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
138 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $4,840.96 | 0.0× |
| Westfield Memorial Hospital, Inc likely a partial charge, not the full procedure |
Westfield, NY | $216.70 | $985 | $6,693.04 | 0.0× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $247 | $823 | $5,386.23 | 0.0× |
| East Carroll Parish Hospital | Lake Providence, LA | $326.25 | $435 | $4,881.71 | 0.1× |
| Torrance Memorial Medical Center range across 13 matching MRF lines |
Torrance, CA | $350.14–$31,644.62 | $427–$38,591 | $6,896.17 | varies |
| Unity Health - White County Medical Center | Searcy, AR | $372.75 | $1,491 | $4,882.04 | 0.1× |
| Unity Health - Jacksonville likely a partial charge, not the full procedure |
Jacksonville, AR | $372.75 | $1,491 | $5,037.83 | 0.1× |
| Unity Health - Newport | Newport, AR | $372.75 | $1,491 | $4,882.04 | 0.1× |
| O'connor Hospital likely a partial charge, not the full procedure |
Delhi, NY | $413.10 | $1,530 | $6,693.04 | 0.1× |
| Little Falls Hospital likely a partial charge, not the full procedure |
Little Falls, NY | $413.10 | $1,530 | $6,693.04 | 0.1× |
| Cobleskill Regional Hospital likely a partial charge, not the full procedure |
Cobleskill, NY | $413.10 | $1,530 | $6,693.04 | 0.1× |
| Concord Hospital likely a partial charge, not the full procedure |
Concord, NH | $427.80 | $1,426 | $5,725.09 | 0.1× |
| Concord Hospital – Laconia likely a partial charge, not the full procedure |
Laconia, NH | $427.80 | $1,426 | $5,725.09 | 0.1× |
| Concord Hospital – Franklin likely a partial charge, not the full procedure |
Franklin, NH | $427.80 | $1,426 | $5,725.09 | 0.1× |
| Vanderbilt Bedford Hospital likely a partial charge, not the full procedure |
Shelbyville, TN | $432.10 | $1,490 | $5,120 | 0.1× |
| Vanderbilt Tullahoma-Harton Hospital likely a partial charge, not the full procedure |
Tullahoma, TN | $432.10 | $1,490 | $5,090.09 | 0.1× |
| Vanderbilt Wilson County Hospital likely a partial charge, not the full procedure |
Lebanon, TN | $432.10 | $1,490 | $5,144 | 0.1× |
| Bayside Community Hospital likely a partial charge, not the full procedure |
Anahuac, TX | $446 | $446 | $5,386.23 | 0.1× |
| MetroHealth System likely a partial charge, not the full procedure |
Cleveland, OH | $537.95 | $1,537 | $5,072.67 | 0.1× |
| Artesia General Hospital likely a partial charge, not the full procedure |
Artesia, NM | $552.60 | $921 | $5,308 | 0.1× |
| John H Stroger Jr Hospital likely a partial charge, not the full procedure |
Chicago, IL | $612.50 | $875 | $5,745.80 | 0.1× |
| Provident Hospital of Chicago likely a partial charge, not the full procedure |
Chicago, IL | $612.50 | $875 | $5,745.80 | 0.1× |
| Altru Hospital range across 2 matching MRF lines |
Grand Forks, ND | $621.59–$1,538.42 | $1,019–$2,522 | $5,477.93 | varies |
| Cedar-sinai Marina Del Rey Hospital range across 13 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $6,896.17 | varies |
| Hurley Medical Center likely a partial charge, not the full procedure |
Flint, MI | $672 | $672 | $5,342.52 | 0.1× |
| Golden Valley Memorial Healthcare range across 3 matching MRF lines |
Clinton, MO | $683.43–$4,018.86 | $1,139.05–$6,698.10 | $5,370.45 | varies |
| Ochsner Rush Medical Center | Meridian, MS | $710.15 | $2,029 | $4,734.79 | 0.1× |
| Vanderbilt University Hospital likely a partial charge, not the full procedure |
Nashville, TN | $804.60 | $1,490 | $5,263.30 | 0.2× |
| Washington Regional Medical Center likely a partial charge, not the full procedure |
Fayetteville, AR | $804.75 | $1,073 | $5,054.92 | 0.2× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $823.50 | $915 | $5,656.07 | 0.1× |
| Southwest Medical Center | Liberal, KS | $824.40 | $1,030.50 | $4,931.01 | 0.2× |
| Nebraska Medical Center likely a partial charge, not the full procedure |
Omaha, NE | $853.13 | $1,312.50 | $5,567.66 | 0.2× |
| Bellevue Medical Center likely a partial charge, not the full procedure |
Bellevue, NE | $853.13 | $1,312.50 | $5,567.66 | 0.2× |
| DeSoto Regional Health System | Mansfield, LA | $878.50 | $1,255 | $4,855.09 | 0.2× |
| Titus Regional Medical Center likely a partial charge, not the full procedure |
Mount Pleasant, TX | $894.60 | $1,491 | $5,386.23 | 0.2× |
| Cedars-sinai Medical Center range across 9 matching MRF lines |
Los Angeles, CA | $936.62–$24,184.55 | $1,440.95–$37,207 | $6,896.17 | varies |
| Sidney Health Center likely a partial charge, not the full procedure |
Sidney, MT | $943.67 | $1,524 | $5,477.93 | 0.2× |
| Montefiore Medical Center likely a partial charge, not the full procedure |
Bronx, NY | $1,017.60 | $1,555.97 | $6,693.04 | 0.2× |
| Waverly Health Center likely a partial charge, not the full procedure |
Waverly, IA | $1,020.24 | $1,962 | $5,154.51 | 0.2× |
| Huntington Hospital range across 12 matching MRF lines |
Pasadena, CA | $1,147.80–$15,116.08 | $1,765.84–$23,255.50 | $6,896.17 | varies |
| Memorial Hermann Surgical Hospital Kingwood likely a partial charge, not the full procedure |
Kingwood, TX | $1,154.30 | $3,298 | $5,386.23 | 0.2× |
| Mercyhealth Fhn Hospital likely a partial charge, not the full procedure |
Freeport, IL | $1,217.60 | $1,522 | $5,745.80 | 0.2× |
| Ochsner Laird Hospital | Union, MS | $1,237.69 | $2,029 | $4,622.72 | 0.3× |
| Ochsner Scott Regional | Morton, MS | $1,278.27 | $2,029 | $4,840.96 | 0.3× |
| Baylor Scott and White Surgical Hospital Las Colin likely a partial charge, not the full procedure |
Irving, TX | $1,293.60 | $2,156 | $5,386.23 | 0.2× |
| Tops Surgical Specialty Hospital likely a partial charge, not the full procedure |
Houston, TX | $1,343.30 | $3,838 | $5,386.23 | 0.2× |
| North Central Surgical Center Llp likely a partial charge, not the full procedure |
Dallas, TX | $1,355.40 | $2,259 | $5,386.23‡ | 0.3× |
| Ochsner Watkins Hospital | Quitman, MS | $1,359.43 | $2,029 | $4,622.72 | 0.3× |
| Ochsner Stennis Hospital | De Kalb, MS | $1,400.01 | $2,029 | $4,622.72 | 0.3× |
| Ochsner Choctaw General | Butler, AL | $1,542.04 | $2,029 | $4,621.07 | 0.3× |
| Mt Sinai Hospital Medical Center likely a partial charge, not the full procedure |
Chicago, IL | $1,622.15 | $2,317.35 | $5,745.80 | 0.3× |
| Holy Cross Hospital likely a partial charge, not the full procedure |
Chicago, IL | $1,622.15 | $2,317.35 | $5,745.80 | 0.3× |
| Sugar Land Surgical Hospital Llp unusually low: confirm this is the full procedure |
Sugar Land, TX | $1,884 | $3,140 | $5,386.23 | 0.3× |
| UVA Health Culpeper Medical Center unusually low: confirm this is the full procedure |
Culpeper, VA | $1,940.50 | $3,881 | $5,547.28 | 0.3× |
| UVA Health Prince William Medical Center unusually low: confirm this is the full procedure |
Manassas, VA | $1,940.50 | $3,881 | $5,547.28 | 0.3× |
| UVA Health Haymarket Medical Center unusually low: confirm this is the full procedure |
Haymarket, VA | $1,940.50 | $3,881 | $5,547.28 | 0.3× |
| Alaska Native Medical Center unusually low: confirm this is the full procedure |
Anchorage, AK | $2,286 | $2,286 | $5,950.57 | 0.4× |
| Ochsner St. Anne Hospital | Raceland, LA | $2,316.16 | $5,264 | $4,855.09 | 0.5× |
| Cincinnati Children's Hospital Medical Center | Cincinnati, OH | $2,654.55 | $5,205 | $5,225.18 | 0.5× |
| Erie County Medical Center unusually low: confirm this is the full procedure |
Buffalo, NY | $2,717 | — | $6,693.04 | 0.4× |
| Treasure Valley Hospital | Boise, ID | $3,318.48 | — | $5,417.45 | 0.6× |
| Mountain View Hospital | Idaho Falls, ID | $4,120 | $4,120 | $5,297.16 | 0.8× |
| Idaho Falls Community Hospital | Idaho Falls, ID | $4,120 | $4,120 | $5,297.16 | 0.8× |
| Park Place Surgical Hospital | Lafayette, LA | $4,761.42 | $11,821.36 | $4,855.09 | 1.0× |
| Northwest Hills Surgical Hospital | Austin, TX | $4,998.60 | $13,885 | $5,386.23 | 0.9× |
| Lakeside Medical Center | Belle Glade, FL | $5,102.84 | — | $5,599.21 | 0.9× |
| Hilton Head Medical Center | Hilton Head Island, SC | $5,446.66 | — | $4,986.89 | 1.1× |
| East Cooper Medical Center | Mount Pleasant, SC | $5,446.66 | — | $4,986.89 | 1.1× |
| Coastal Carolina Medical Center | Hardeeville, SC | $5,446.66 | — | $4,986.89 | 1.1× |
| St. Joseph's Medical Center | Yonkers, NY | $5,477.93 | — | $6,693.04 | 0.8× |
| Lima Memorial Health System | Lima, OH | $5,536.80 | $6,152 | $5,119.67 | 1.1× |
| Virginia Mason Medical Center | Seattle, WA | $5,572.26 | $10,926 | $6,226.32 | 0.9× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $5,582.06 | — | $4,869.22 | 1.1× |
| Memorial Hermann Houston Physicians Hospital | Webster, TX | $5,601.05 | $15,235 | $5,386.23 | 1.0× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $5,630.80 | $8,044 | $5,154.51 | 1.1× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $5,630.80 | $8,044 | $5,154.51 | 1.1× |
| Summit Medical Center, LLC | Edmond, OK | $5,989.56 | — | $5,156.81 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Bellevue Hospital Center | New York, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Harlem Hospital Center | New York, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $6,015.75 | — | $6,693.04 | 0.9× |
| Griffin Hospital | Derby, CT | $6,077.37 | — | $6,427.80 | 0.9× |
| Highland Hospital | Rochester, NY | $6,364.37 | — | $6,693.04 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $6,364.37 | — | $6,693.04 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $6,579.70 | — | $5,721.48 | 1.1× |
| Nyack Hospital | Nyack, NY | $6,693.04 | — | $6,693.04 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $6,693.04 | — | $6,693.04 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $6,703.85 | — | $5,144 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $7,372.68 | — | $5,342.52 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $7,372.68 | — | $5,342.52 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $7,372.68 | — | $5,342.52 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $7,372.68 | — | $5,342.52 | 1.4× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $7,920.18 | — | $5,477.93 | 1.4× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $8,219.93 | $8,219.93 | $5,386.23 | 1.5× |
| Omega Hospital range across 2 matching MRF lines |
Metairie, LA | $9,149.47–$22,351.37 | $15,684.81–$38,316.63 | $5,032.90 | varies |
| Central Peninsula General Hospital | Soldotna, AK | $9,505 | $9,505 | $5,950.57 | 1.6× |
| Rome Memorial Hospital, Inc | Rome, NY | $10,344.41 | $25,624 | $6,693.04‡ | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $10,364.48 | — | $5,156.81 | 2.0× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $10,718.40 | $19,140 | $7,785.23 | 1.4× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $10,718.40 | $19,140 | $7,750.39 | 1.4× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $10,718.40 | $19,140 | $7,613.01 | 1.4× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $10,718.40 | $19,140 | $7,877.26 | 1.4× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $10,718.40 | $19,140 | $7,843.41 | 1.4× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $10,718.40 | $19,140 | $7,750.39 | 1.4× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $10,718.40 | $19,140 | $7,613.01 | 1.4× |
| Kaiser Foundation Hospital | San Rafael, CA | $10,718.40 | $19,140 | $7,605.12 | 1.4× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $10,718.40 | $19,140 | $7,750.39 | 1.4× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $10,718.40 | $19,140 | $7,785.23 | 1.4× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $10,718.40 | $19,140 | $7,886.47 | 1.4× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $10,718.40 | $19,140 | $7,613.01 | 1.4× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $10,718.40 | $19,140 | $7,373.07 | 1.5× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $10,718.40 | $19,140 | $6,896.17 | 1.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $10,718.40 | $19,140 | $7,513.42 | 1.4× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $10,718.40 | $19,140 | $7,571.27 | 1.4× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $10,718.40 | $19,140 | $7,877.26 | 1.4× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $10,718.40 | $19,140 | $6,958.61 | 1.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $10,718.40 | $19,140 | $7,751.38 | 1.4× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $11,849.40 | $19,749 | $5,315.89 | 2.2× |
| West Chester Hospital | West Chester, OH | $11,849.40 | $19,749 | $5,225.18 | 2.3× |
| St. Luke's Magic Valley Medical Center | Twin Falls, ID | $12,489 | $12,489 | $5,589.35 | 2.2× |
| St. Luke's Boise Medical Center | Boise, ID | $12,489 | $12,489 | $5,789.51 | 2.2× |
| St. Luke's Nampa Medical Center | Nampa, ID | $12,489 | $12,489 | $5,417.45 | 2.3× |
| St. Luke's Jerome Medical Center | Jerome, ID | $12,489 | $12,489 | $5,320.49 | 2.3× |
| St. Luke's Elmore Medical Center | Mountain Home, ID | $12,489 | $12,489 | $5,297.16 | 2.4× |
| St. Luke's McCall Medical Center | McCall, ID | $12,489 | $12,489 | $5,297.16 | 2.4× |
| St. Luke's Wood River Medical Center | Ketchum, ID | $12,489 | $12,489 | $5,297.16 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $15,470.43 | — | $5,156.81 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $15,470.43 | — | $5,156.81 | 3.0× |
| Glen Rose Medical Center | Glen Rose, TX | $15,590 | $15,590 | $5,386.23 | 2.9× |
| UVA Health University Medical Center | Charlottesville, VA | $16,229.55 | $27,049.25 | $5,379.33 | 3.0× |
| Graham Hospital Association | Canton, IL | — | $1,877.19 | $5,745.80 | — |
| National Park Medical Center | Hot Springs, AR | — | $137,951.27 | $5,127.89‡ | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.