Price Checker / CPT 52356
How much does Cysto/uretero W/lithotripsy cost?
CPT 52356 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 33x the fair price — among the most extreme markups. Dispute this.
Fair price
$550–$1,100
What this should cost
With insurance
~$3,900
Typical out-of-pocket
Overcharged if over
$1,400
Push back above this
The average hospital charge of $27,400 is $26,570 over the fair price (about 33x the fair rate).
What hospitals charge for Cysto/uretero W/lithotripsy
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Munster MUNSTER, IN | $101,222 | $27,026 | 27627% |
| Bailey Medical Center Owasso, OK | $86,796 | — | 23675% |
| Valley View Medical Center FORT MOHAVE, AZ | $84,460 | — | 23035% |
| Franciscan Health Lafayette LAFAYETTE, IN | $73,613 | $18,918 | 20064% |
| Carolina Pines Regional Medical Center Hartsville, SC | $69,307 | — | 18884% |
| Rutherford Regional Health System , NC | $58,181 | — | 15837% |
| Jackson Purchase Medical Center MAYFIELD, KY | $39,659 | — | 10763% |
| Franciscan Health Olympia Fields , IL | $39,457 | $7,891 | 10708% |
| Parrish Medical Center Titusville, FL | $29,449 | — | 7563% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $22,715 | — | 6122% |
| University Hospitals Samaritan Medical Center ASHLAND, OH | $22,423 | $16,817 | 6042% |
| Doylestown Health , PA | $24,484 | — | 4930% |
| Ascension Saint Thomas DeKalb , TN | — | — | 4917% |
| Ascension Saint Thomas Highlands , TN | — | — | 4917% |
| Ascension Saint Thomas River Park , TN | — | — | 4917% |
Were you billed for this procedure?
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About Cysto/uretero W/lithotripsy
CPT code 52356 refers to cysto/uretero w/lithotripsy (billing description: "Cysto/uretero w/lithotripsy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $365 in a facility (hospital or surgery center) and $365 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.