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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 October 2026.

How much rates vary

Facilitymedian $14,454 · 10th to 90th $10,715 to $16,982
$10K$20Kfacility $14,454

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
Sentara
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$14,454.40
Typical High
$16,982.44