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Urinary Stones with Esw Lithotripsy without Complications

Virginia rates for MS-DRG 692

Urinary Stones W Esw Lithotripsy W/O Cc/Mcc

Rates data updated July 2026.

Facilitymedian $14,454 · 10th–90th $11,220$16,9820%50%10th90th$14,454$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$14,454.40
Typical High
$16,982.44