go back

Urinary Stones with Esw Lithotripsy without Complications

New Jersey rates for MS-DRG 692

Urinary Stones W Esw Lithotripsy W/O Cc/Mcc

Rates data updated October 2026.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $13,804 to $38,905
$10K$20K$50Kfacility $23,988

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$38,904.51