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Urinary Stones with Major Complications

New York rates for MS-DRG 693

Urinary Stones with MCC

Rates data updated July 2026.

How much does Urinary Stones with Major Complications cost?

$32,359

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $19,498 to $41,687.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32,359 · 10th to 90th $12,882 to $52,481
$10K$20K$50Kfacility $32,359

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$26,302.68
Typical High
$44,668.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$44,668.36
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$32,359.37
Typical High
$45,708.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$33,113.11
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$22,908.68
Typical High
$43,651.58

Where New York sits

The same service costs 6.8 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 6th of 51

$32,359

MT $72,444NM $10,715

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.