Inpatient stays / DRG 694
MS-DRG 694 · 54 hospitals · 5,395 stays
DRG 694: Urinary Stones without MCC
Medicare patients had 5,395 stays in DRG 694 in 2024. Hospitals charged an average of $41,258 per stay and were paid $7,860 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $5,653. Average charges ran from $8,826 at the least expensive hospital to $135,111 at the most; half of hospitals charged between $28,144 and $58,488.
- 1Average charge $41,258
- 2Average paid $7,860
- 3Reporting hospitals 54
- 4Medicare stays 5,395
By state
Average charges for DRG 694 were highest in Nevada ($83,135) and lowest in Maryland ($12,912). Payments vary far less than charges, because Medicare sets them: they range across states from $5,489 to $11,677.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 80 | $83,135 | $8,938 | 9.3× |
| Colorado | 42 | $63,501 | $8,712 | 7.3× |
| California | 493 | $60,456 | $9,654 | 6.3× |
| Florida | 694 | $54,176 | $7,282 | 7.4× |
| New Jersey | 200 | $51,294 | $8,206 | 6.3× |
| New York | 377 | $49,859 | $9,498 | 5.2× |
| Texas | 299 | $49,085 | $8,054 | 6.1× |
| District of Columbia | 14 | $48,537 | $9,356 | 5.2× |
| New Mexico | 17 | $47,830 | $6,995 | 6.8× |
| Kansas | 53 | $44,065 | $6,313 | 7× |
| Alaska | 12 | $42,787 | $8,780 | 4.9× |
| South Carolina | 88 | $42,236 | $7,072 | 6× |
| Arizona | 118 | $42,094 | $7,146 | 5.9× |
| Mississippi | 54 | $40,912 | $6,336 | 6.5× |
| Georgia | 110 | $40,147 | $8,945 | 4.5× |
| Washington | 39 | $39,744 | $7,767 | 5.1× |
| Oklahoma | 57 | $37,241 | $7,342 | 5.1× |
| Pennsylvania | 301 | $36,724 | $7,098 | 5.2× |
| New Hampshire | 19 | $36,422 | $7,753 | 4.7× |
| Alabama | 72 | $36,327 | $6,680 | 5.4× |
| North Carolina | 127 | $35,912 | $7,775 | 4.6× |
| South Dakota | 16 | $35,802 | $6,943 | 5.2× |
| Louisiana | 60 | $35,185 | $6,371 | 5.5× |
| Missouri | 102 | $34,543 | $6,518 | 5.3× |
| Illinois | 240 | $34,402 | $7,585 | 4.5× |
| Wisconsin | 61 | $34,149 | $6,754 | 5.1× |
| Utah | 18 | $34,121 | $8,096 | 4.2× |
| Tennessee | 97 | $34,084 | $6,895 | 4.9× |
| Maine | 20 | $32,165 | $7,528 | 4.3× |
| Indiana | 115 | $31,595 | $6,787 | 4.7× |
| Kentucky | 64 | $30,716 | $6,067 | 5.1× |
| Delaware | 33 | $30,127 | $7,093 | 4.2× |
| Ohio | 254 | $29,797 | $7,021 | 4.2× |
| Oregon | 38 | $29,072 | $7,981 | 3.6× |
| Connecticut | 41 | $28,596 | $10,177 | 2.8× |
| Virginia | 139 | $27,952 | $6,886 | 4.1× |
| Vermont | 18 | $27,907 | $5,489 | 5.1× |
| Nebraska | 23 | $27,820 | $7,407 | 3.8× |
| Michigan | 149 | $27,026 | $7,187 | 3.8× |
| Iowa | 44 | $26,638 | $6,389 | 4.2× |
| Minnesota | 69 | $26,622 | $7,061 | 3.8× |
| Rhode Island | 25 | $25,722 | $7,969 | 3.2× |
| Arkansas | 50 | $24,038 | $6,426 | 3.7× |
| West Virginia | 56 | $23,078 | $5,976 | 3.9× |
| Idaho | 11 | $22,628 | $7,079 | 3.2× |
| Massachusetts | 196 | $20,825 | $8,109 | 2.6× |
| Montana | 13 | $18,044 | $6,301 | 2.9× |
| Maryland | 153 | $12,912 | $11,677 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| HCA Florida Ocala Hospital Ocala, FL · 30 stays | $135,111 | $6,744 |
| Mountainview Hospital Las Vegas, NV · 12 stays | $103,722 | $9,413 |
| HCA Florida North Florida Hospital Gainesville, FL · 14 stays | $93,574 | $7,201 |
| NYU Langone Hospitals New York, NY · 18 stays | $92,846 | $11,493 |
| Summerlin Hospital Medical Center Las Vegas, NV · 14 stays | $88,172 | $7,704 |
| John Muir Medical Center - Concord Campus Concord, CA · 12 stays | $85,091 | $9,333 |
| New York-Presbyterian Hospital New York, NY · 28 stays | $82,976 | $11,796 |
| Mount Sinai Beth Israel New York, NY · 11 stays | $75,153 | $10,937 |
| HCA Florida St Lucie Hospital Port Saint Lucie, FL · 11 stays | $67,602 | $10,563 |
| West Jersey Hospital Voorhees, NJ · 14 stays | $65,408 | $6,375 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 19 stays | $8,826 | $8,224 |
| Winchester Hospital Winchester, MA · 14 stays | $9,749 | $6,281 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 12 stays | $11,510 | $10,418 |
| Beverly Hospital Corporation Beverly, MA · 11 stays | $13,187 | $6,829 |
| Weirton Medical Center, Inc Weirton, WV · 11 stays | $14,590 | $5,263 |
| Johns Hopkins Hospital, the Baltimore, MD · 15 stays | $18,159 | $16,101 |
| Christianacare Newark, DE · 16 stays | $18,676 | $7,314 |
| Bon Secours Memorial Regional Medical Center Mechanicsville, VA · 12 stays | $21,242 | $6,002 |
| Newton-Wellesley Hospital Newton, MA · 12 stays | $21,839 | $7,968 |
| Cleveland Clinic Indian River Hospital Vero Beach, FL · 11 stays | $24,129 | $5,899 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.