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.
67 of 2639 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 | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $4,621.07 | 0.0× |
| Nacogdoches Memorial Hospital likely a partial charge, not the full procedure |
Nacogdoches, TX | $247 | $823 | $5,386.23 | 0.0× |
| Memorial Medical Center likely a partial charge, not the full procedure |
Port Lavaca, TX | $289.97 | $414.24 | $5,386.23 | 0.1× |
| East Carroll Parish Hospital | Lake Providence, LA | $326.25 | $435 | $4,881.71 | 0.1× |
| 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× |
| 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× |
| Spanish Peaks Regional Health Center likely a partial charge, not the full procedure |
Walsenburg, CO | $629.10 | $699 | $5,656.07 | 0.1× |
| 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× |
| 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× |
| 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× |
| 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× |
| 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× |
| Ochsner St. Anne Hospital | Raceland, LA | $2,316.16 | $5,264 | $4,855.09 | 0.5× |
| Treasure Valley Hospital | Boise, ID | $3,318.48 | — | $5,417.45 | 0.6× |
| Golden Valley Memorial Healthcare | Clinton, MO | $3,335.43 | $5,559.05 | $5,370.45 | 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× |
| 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× |
| Summit Medical Center, LLC | Edmond, OK | $5,989.56 | — | $5,156.81 | 1.2× |
| Griffin Hospital | Derby, CT | $6,077.37 | — | $6,427.80 | 0.9× |
| Valleywise Health Medical Center | Phoenix, AZ | $6,579.70 | — | $5,721.48 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $6,703.85 | — | $5,144 | 1.3× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $8,219.93 | $8,219.93 | $5,386.23 | 1.5× |
| Duncan Regional Hospital, Inc | Duncan, OK | $10,364.48 | — | $5,156.81 | 2.0× |
| 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× |
| Omega Hospital | Metairie, LA | $15,750.42 | $27,000.72 | $5,032.90 | 3.1× |
| UVA Health University Medical Center | Charlottesville, VA | $16,229.55 | $27,049.25 | $5,379.33 | 3.0× |
| National Park Medical Center | Hot Springs, AR | — | $137,951.27 | $5,127.89‡ | — |
"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.