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Urinary Stones without Major Complications

California rates for MS-DRG 694

Urinary Stones without MCC

Rates data updated July 2026.

How much does Urinary Stones without Major Complications cost?

$18,621

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $18,621 for this service. Most negotiated rates run $17,378 to $19,498.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,621 · 10th to 90th $12,303 to $28,184
$500$1K$2K$5K$10K$20Kfacility $18,621

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
$12,302.69
Median
$17,378.01
Typical High
$26,302.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$18,620.87
Typical High
$28,183.83
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,125.38
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$27,542.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,782.79
Typical High
$30,199.52
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$15,135.61
Typical High
$30,199.52

Where California sits

The same service costs 7.8 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.

California· 8th of 51

$18,621

MT $48,978NM $6,310

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.