Urinary stones without major complications
What 54 hospitals in the U.S. charged and were paid for a Medicare hospital stay for urinary stones without major complications (DRG 694), from 2024 Medicare claims.
Average charge
$47,751
Hospital list price billed
Average payment
$8,073
Medicare + patient + other payers
Medicare paid
$5,717
Average per stay
Volume
783
Medicare hospital stays
Hospitals in the U.S. billed an average of $47,751 for urinary stones without major complications, about 5.9 times the average total payment of $8,073.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $8,073Billed $47,751
About 17¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sarasota Memorial HospitalSarasota, FL | $6,194 |
|---|---|
| Ocala Regional Medical CenterOcala, FL | $6,744 |
| Adventhealth OrlandoOrlando, FL | $8,230 |
| New York-Presbyterian HospitalNew York, NY | $11,796 |
Highest
| New York-Presbyterian HospitalNew York, NY | $11,796 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $8,230 |
| Ocala Regional Medical CenterOcala, FL | $6,744 |
| Sarasota Memorial HospitalSarasota, FL | $6,194 |
Urinary stones without major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| California | 3 | $55,596 | $8,756 | $7,890 – $9,333 |
| Delaware | 1 | $18,676 | $7,314 | – |
| Florida | 15 | $59,408 | $7,104 | $5,257 – $10,563 |
| Illinois | 2 | $26,460 | $8,662 | $7,121 – $10,846 |
| Indiana | 1 | $32,463 | $6,592 | – |
| Maryland | 3 | $12,570 | $11,365 | $8,224 – $16,101 |
| Massachusetts | 4 | $21,351 | $8,144 | $6,281 – $12,021 |
| Michigan | 2 | $35,877 | $7,778 | $6,118 – $9,576 |
| Minnesota | 1 | $28,916 | $6,588 | – |
| Nevada | 2 | $95,349 | $8,492 | $7,704 – $9,413 |
| New Jersey | 3 | $54,420 | $7,933 | $6,375 – $9,377 |
| New York | 8 | $64,381 | $10,051 | $6,814 – $11,796 |
| North Carolina | 1 | $33,161 | $10,690 | – |
| Ohio | 1 | $34,442 | $6,004 | – |
| Pennsylvania | 1 | $26,048 | $6,123 | – |
| Texas | 1 | $29,954 | $8,547 | – |
| Vermont | 1 | $28,479 | $4,913 | – |
| Virginia | 2 | $34,465 | $6,489 | $6,002 – $6,907 |
| West Virginia | 2 | $20,864 | $5,427 | $5,263 – $5,590 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 40 | $53,399 | $8,230 |
| Ocala Regional Medical CenterOcala, FL | 30 | $135,111 | $6,744 |
| New York-Presbyterian HospitalNew York, NY | 28 | $82,976 | $11,796 |
| Sarasota Memorial HospitalSarasota, FL | 26 | $38,070 | $6,194 |
| Anne Arundel Medical CenterAnnapolis, MD | 19 | $8,826 | $8,224 |
| NYU Hospitals CenterNew York, NY | 18 | $92,846 | $11,493 |
| Evanston HospitalEvanston, IL | 17 | $24,716 | $7,121 |
| Christiana Care Health Services, INC.Newark, DE | 16 | $18,676 | $7,314 |
| Lakeland Regional Medical CenterLakeland, FL | 16 | $38,392 | $6,881 |
| Parkview HospitalFort Wayne, IN | 16 | $32,463 | $6,592 |
| St Francis Hospital, RoslynRoslyn, NY | 16 | $39,957 | $6,814 |
| Bethesda Memorial HospitalBoynton Beach, FL | 15 | $58,079 | $7,167 |
| The Johns Hopkins HospitalBaltimore, MD | 15 | $18,159 | $16,101 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 15 | $28,916 | $6,588 |
| Jersey Shore University Medical CenterNeptune City, NJ | 15 | $46,503 | $9,377 |
Questions
How much does urinary stones without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for urinary stones without major complications (DRG 694) at 54 hospitals in the U.S. was billed at $47,751 on average, while the average total payment was $8,073, of which Medicare paid $5,717. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for urinary stones without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($11,365), New York ($10,051), California ($8,756) and lowest in Florida ($7,104), New Jersey ($7,933), Massachusetts ($8,144).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.