Urinary Stones without Major Complications — what U.S. hospitals charge
MS-DRG 694 · Inpatient stay · 54 U.S. hospitals publish a price
Cheapest quarter
under $28,588
Typical charge
$38,231
Dearest quarter
over $57,475
Actually paid
$8,024
The middle U.S. hospital bills $38,231 for Urinary Stones without Major Complications. The dearest hospitals charge about 4.6x what the cheapest do for the same coded work. Medicare actually paid about $8,024 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Urinary Stones without Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 3 | $11,511 | $8,826 – $18,159 |
| Massachusetts | 4 | $17,513 | $9,749 – $43,748 |
| California | 3 | $46,078 | $34,826 – $85,091 |
| Florida | 15 | $48,962 | $24,129 – $135,111 |
| New Jersey | 3 | $51,231 | $46,503 – $65,408 |
| New York | 8 | $61,011 | $32,395 – $92,846 |
Where Urinary Stones without Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$8,826 | $8,224 |
|
Winchester Hospital
Winchester, MA |
$9,749 | $6,281 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$11,511 | $10,418 |
|
Northeast Hospital Corporation
Beverly, MA |
$13,187 | $6,829 |
|
Weirton Medical Center, Inc
Weirton, WV |
$14,590 | $5,263 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$18,159 | $16,101 |
|
Christiana Hospital
Newark, DE |
$18,677 | $7,314 |
|
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA |
$21,242 | $6,002 |
|
Newton-Wellesley Hospital
Newton, MA |
$21,839 | $7,968 |
|
Cleveland Clinic Indian River Hospital
Vero Beach, FL |
$24,129 | $5,899 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$24,716 | $7,121 |
|
Chester County Hospital
West Chester, PA |
$26,049 | $6,123 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Marion Communtiy Hospital
Ocala, FL |
$135,111 | $6,744 |
|
Mountainview Hospital
Las Vegas, NV |
$103,722 | $9,413 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$93,574 | $7,201 |
|
Nyu Langone Hospitals
New York, NY |
$92,846 | $11,493 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$88,172 | $7,704 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$85,091 | $9,333 |
|
New York-Presbyterian Hospital
New York, NY |
$82,976 | $11,796 |
|
Mount Sinai Beth Israel
New York, NY |
$75,153 | $10,937 |
|
St Lucie Medical Center
Port Saint Lucie, FL |
$67,602 | $10,563 |
|
West Jersey Hospital
Voorhees, NJ |
$65,408 | $6,375 |
|
North Shore University Hospital
Manhasset, NY |
$62,306 | $11,595 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$61,764 | $7,249 |
Questions people ask
What do U.S. hospitals charge for Urinary Stones without Major Complications?
Across 54 U.S. hospitals, the middle charge for Urinary Stones without Major Complications is $38,231. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $28,588 and the dearest quarter over $57,475.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Urinary Stones without Major Complications, the hospitals in the dearest tenth charge about 4.6x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $8,024 is roughly what Medicare actually paid per case, against an average charge of $47,751. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 694: “URINARY STONES WITHOUT MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.