Purpose: We determined the economic costs to individuals in 1993 for t
he evaluation and treatment of upper urinary tract calculi. Materials
and Methods: Hospital discharge statistics, prevalence data for urolit
hiasis and the relative frequency of surgical treatments from Civilian
Health and Medical Program of the Uniformed Services claims data were
assessed. Results: The total charges for evaluation, hospitalization
and treatment were estimated to be $1.23 billion per year. Professiona
l charges for those who were hospitalized were estimated to be $183 mi
llion. Outpatient evaluation of urolithiasis was expected to cost $278
million. Indirect costs for lost wages were estimated to be $139 mill
ion. Conclusions: The total annual cost for urolithiasis in the United
States is estimated to be $1.83 billion.