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Kidney Stone Treatment Cost


How Much Does Kidney Stone Treatment Cost?

 
average costNon-Surgical Treatment: $132-$500high costSurgical Treatment or Lithotripsy: $7,400-$20,000+
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Kidney stones are formed by minerals in the urine. They can be extremely painful and can, in some cases, cause blockage that interferes with kidney function or leads to kidney damage.

Typical costs:

  • Kidney stone treatment typically would be covered by health insurance. For patients covered by health insurance, out-of-pocket costs typically would consist of a doctor visit specialist copay, prescription drug copays, possibly a hospital copay of $100 or more, and coinsurance of 10% to 50% for the procedure, which could reach the yearly out-of-pocket maximum. According to the Kaiser Family Foundation[1] , the average hospital copay for outpatient surgery is $132 and for inpatient surgery is $232.The average coinsurance rate is 17% to 18%.
  • For patients not covered by health insurance, kidney stone treatment typically costs less than $500 to allow the stone to pass naturally with monitoring from a doctor, and possibly prescription medication. For example, at Southern Illinois Urology, the cost of a doctor consultation is $150. One medicine sometimes prescribed to patients with kidney stones, Urocit-K, costs about $65 for a one-month supply at Drugstore.com. Another, Zyloprim, costs about $80. Generic versions of some of the drugs are available for less than $20; for example, Drugstore.com sells 100 tablets of Allopurinol (generic Zyloprim) for $13.99.
  • Kidney stone treatment can cost from just under $10,000 to $20,000 or more for surgical removal or extracorporeal shock wave lithotripsy (ESWL). For example, at Saint Elizabeth Regional Medical Center[2] , in Lincoln, NE, a cystourethroscopy -- a kind of examination of the urinary tract using a long, flexible tube -- with removal of a kidney stone typically costs about $7,400-$12,200, not including doctor fee. At Garden City Hospital[3] , in Michigan, the full price of a surgical kidney stone removal via cystoscopy is about $8,700 -- but the hospital offers it at a discounted price of about $2,500 for uninsured patients. Fragmenting a kidney stone using ESWL typically costs about $10,700-$16,700 or more. At Baptist Memorial Health Care, in Memphis, ESWL costs about $9,870 not including the doctor fee. According to NewChoiceHealth.com[4] , the national average cost for ESWL is $17,400 -- with range from $8,300 to $35,800.
Related articles: Urinary Tract Infection Treatment, CT Scan

What should be included:
  • Some smaller kidney stones can pass naturally. After first seeking the advice of a doctor, the patient would drink at least six glasses of water per day, and use over-the-counter pain relievers -- and possibly prescription medications -- while waiting for the stone to pass. WebMD has information[5] on medications for kidney stones.
  • For ESWL, the most common method of treatment for stones that are actually in the kidney (rather than the ureters or bladder), the patient is placed under local or general anesthesia and lies in either a tub of warm water or on a special cushion on a table. X-rays or ultrasound are used to locate the kidney stone, then up to 2,000 shock waves are passed through the patient to crush the stone. Typically, a day or two of hospitalization is required, and there might be pain or bleeding as fragments are passed.
  • In ureteroscopy, which is often used for stones in the ureters (the tubes connecting the bladder to the kidneys), the doctor passes a flexible scope with a basket on it through the urethra, and bladder, into the ureters. The doctor grabs the stone with the basket and removes it. This typically is an outpatient procedure.
  • In percutaneous nephrolithotomy/percutaneous nephrolithotripsy, which might be used for stones of a size or shape that make them impossible to remove through other methods, the patient is placed under general anesthesia. The doctor makes a small incision in the back and inserts instruments to either remove or break up the stone. A few days of hospitalization and about a week off work are required.
  • The National Kidney Foundation offers overviews of ESWL[6] , ureteroscopy[7] and percutaneous nephrolithotomy/nephrolithotripsy[8] .
Additional costs:
  • Depending on the type of kidney stone, a dietician might recommend a kidney stone prevention diet[9] . Many hospitals have dieticians available, and an initial consultation can cost $100-$200.
Discounts:
  • Some clinics, such as the NYC Free Clinic[10] and the Clinic at Brackenridge[11] in Austin, TX, offer access to specialist care. The U.S. Department of Health & Human Services offers a tool[12] to find a federally funded health clinic.
Shopping for kidney stone treatment:
  • The American Urological Association offers a urologist locator[13] by zip code. It is important to check to make sure the doctor is board-certified by the American Board of Urology[14] .
  • It is important to discuss risks with the doctor. Risks vary, depending on the treatment but can include reaction to anesthesia, infection and bleeding.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Kidney stone expense
Amount: $13,000.00
Posted by: Cstar in Hollywood, FL.Posted: October 16th, 2016 08:10PM
Treatment or Medication: Medical Center: Memorial hospital in Hollywood, FL.
I went to the ER for a kidney stone as the pain was unbearable, and I never passed a stone before so I wasn't sure what was going on. They gave me a relaxing drug, spent maybe 4hrs in the hospital for monitoring and a few test.... $13,000? Really?
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kidney stones
Amount: $112.00
Posted by: ouch in st helena, CA.Posted: July 17th, 2015 02:07PM
Treatment or Medication: lithrotripsyMedical Center: st. helena, ca
So I was lucky enough to have kidney stones in both kidneys and had to have them done separately. My insurance reduced the amount paid to about 34k for each treatment. I was shocked to say the least for the price of this. This does not include docs, or any lab fees just the hospital. They also don't have their own machine it only comes to the hospital once per month
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Lithotripsy or ESW cost
Amount: $11,000.00
Posted by: Tay in Plano, TX.Posted: January 21st, 2015 05:01AM
Treatment or Medication: ESWMedical Center: Baylor Frisco, TX
I had two stones, each under 1 cm, reduced to sediment by a successful lithotripsy procedure performed during general. My deductible with BCBS was $6000,
The $11000 cost includes initial MD visit ($135), CT scan $276 (which was done at an independent imaging center therefore much less expensive), Urologist fee ($700), hospital costs (facility,meds) and anesthesia cost.
The hospital does not own the lithotripsy unit used on me. Instead it contracts its use from a mobile imaging company which provides the imaging hardware and technician to several hospitals in the region. This would seem to be a more economical choice by the hospital in that it only pays a per use fee.
I am shocked however by the high cost the hospital charges for this procedure and now wonder what others are paying.
Shopping around for a better cost is not likely to happen in my case. The urologist I chose and trust has privileges only at this hospital.
BTW my procedure occurred in Jan of 2015 (not 2014).
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kidney stone expense
Amount: $4,500.00
Posted by: a user in oakland, CA.Posted: July 21st, 2014 03:07PM
Treatment or Medication: Medical Center: summit, oakland
just spoke to intake person, my procedure will be billed at $82,600. yes, that is eighty two thousand dollars. no wonder we are in trouble.
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External Resources:
  1.  kff.org/health-costs/report/employer-health-benefits-2012-annual-survey/
  2.  tp.chi.acelogicus.net/nese/Default.aspx
  3.  www.gch.org/Home.aspx?id=219&sid=1
  4.  www.newchoicehealth.com/Directory/Procedure/136/Lithotripsy%20(Kidney%20Stone%20Removal...
  5.  www.webmd.com/kidney-stones/kidney-stones-medications
  6.  www.kidney.org/atoz/content/lithotripsy.cfm
  7.  www.kidney.org/atoz/content/kidneystones_Ureteroscopy.cfm
  8.  www.kidney.org/atoz/content/kidneystones_PNN.cfm
  9.  kidney.niddk.nih.gov/kudiseases/pubs/kidneystonediet/
  10.  nycfreeclinic.med.nyu.edu/information-for-patients/schedule-appointment
  11.  www.seton.net/locations/brackenridge/services
  12.  bphc.hrsa.gov/technicalassistance/taresources/slidingscale.html
  13.  www.urologyhealth.org/urology/findurologist.cfm
  14.  www.abu.org/
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