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Urinary Stones with Esw Lithotripsy without Complications

Pennsylvania rates for MS-DRG 692

Urinary Stones W Esw Lithotripsy W/O Cc/Mcc

Rates data updated October 2026.

How much rates vary

Facilitymedian $30,200 · 10th to 90th $9,333 to $33,884
$10K$20Kfacility $30,200

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

Rates by insurance carrier

Insurance Carrier
Geisinger
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$30,199.52
Typical High
$33,884.42