How much does Medicare pay for CPT 50590?

Medicare allowed an average of $797.04 per service and paid $630.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5021.83, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 50590?

Shock wave crushing of kidney stones. It was billed 25,571 times to 22,267 Medicare beneficiaries by 1,000 providers in 2024.

Does 50590 pay differently in an office than a hospital?

Yes. The allowed amount averaged $579.82 in an office setting and $798.25 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 50590 most?

Urology, with 18,893 services from 824 clinicians. Next are Ambulatory Surgical Center, Cardiology, Family Practice.

CPT 50590

Shock wave crushing of kidney stones

$797.04Medicare-allowed amount per service, averaged across 25,571 services

Providers submitted

$5021.83

Asking price, not received

Medicare allowed

$797.04

The fee schedule figure

Medicare paid

$630.94

Balance is patient coinsurance

Providers submitted an average of $5021.83 for this code and Medicare allowed $797.04 — 6.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $630.94 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $579.82
Hospital / facility: $798.25

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 141 services were billed in an office setting and 25,430 in a facility.

Services: 25,571
Beneficiaries: 22,267
Providers billing it: 1,000
Total allowed: $20,381,110

What Medicare pays for CPT 50590

Across 25,571 services billed by 1,000 providers to 22,267 beneficiaries, Medicare allowed an average of $797.04 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 50590

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	18,893	16,487	$557.40	824
Ambulatory Surgical Center	6,632	5,737	$1482.54	173
Cardiology	28	27	$323.58	2
Family Practice	18	16	$496.18	1

50590 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,993	$897.46	$735.25	78
New Jersey	1,675	$958.00	$716.68	59
California	1,462	$1016.62	$696.55	67
Texas	1,341	$762.92	$618.77	60
Mississippi	1,310	$626.23	$550.29	38
Ohio	1,218	$804.53	$673.89	38
Arizona	1,129	$625.04	$503.41	47
Indiana	1,109	$648.41	$543.92	41
South Carolina	1,078	$619.79	$500.96	32
Maryland	1,046	$1068.79	$847.57	29
Illinois	952	$829.87	$642.33	39
Georgia	871	$944.38	$763.18	35
Pennsylvania	859	$824.74	$661.69	31
Massachusetts	847	$902.24	$640.53	23
Oklahoma	834	$518.55	$436.70	25
Missouri	768	$855.84	$703.64	32
New York	585	$1102.81	$769.77	25
Tennessee	556	$674.30	$566.37	24
Virginia	548	$869.24	$721.80	20
Washington	507	$687.37	$531.63	23
Michigan	426	$702.45	$562.92	17
Delaware	424	$977.71	$748.48	15
Alabama	402	$522.34	$444.49	22
Utah	364	$791.42	$652.31	17
Nebraska	354	$727.83	$624.51	14
Kentucky	322	$545.21	$444.55	17
North Carolina	311	$625.65	$511.45	20
Colorado	309	$994.74	$786.77	13
Louisiana	302	$527.24	$444.28	14
Arkansas	284	$583.58	$501.26	14
Kansas	244	$718.37	$603.66	12
Iowa	179	$825.26	$700.56	11
West Virginia	175	$556.61	$442.61	7
Connecticut	153	$898.68	$672.70	9
Nevada	147	$544.70	$443.66	5
Wisconsin	107	$667.98	$570.55	6
Montana	100	$677.55	$545.15	7
New Mexico	51	$546.19	$420.73	2
Idaho	46	$523.60	$445.77	3
Rhode Island	42	$529.91	$439.99	1
Vermont	33	$538.98	$437.73	1
Minnesota	24	$601.24	$475.55	2
Puerto Rico	21	$1098.06	$1247.28	1
New Hampshire	20	$1527.11	$1274.86	1
Oregon	16	$1514.36	$1135.33	1
Wyoming	14	$507.68	$443.93	1
South Dakota	13	$532.32	$446.45	1

Related codes

50543Partial removal of kidney$1239.99

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.