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Urinary Stones with Major Complications

West Virginia rates for MS-DRG 693

Urinary Stones with MCC

Rates data updated July 2026.

How much does Urinary Stones with Major Complications cost?

$16,596

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $14,125 to $18,621.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $12,589 to $22,909
$5K$10K$20Kfacility $16,596

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$18,620.87
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$16,982.44
Typical High
$21,877.62

Where West Virginia 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.

West Virginia· 38th of 51

$16,596

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.