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Otitis Media and URI with Major Complications

California rates for MS-DRG 152

Otitis Media and Upper Respiratory Infection with MCC

Rates data updated July 2026.

How much does Otitis Media and URI with Major Complications cost?

$29,512

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $22,909 to $39,811.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $29,512 · 10th to 90th $16,596 to $50,119
$200$1K$5K$20Kfacility $29,512

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
$21,877.62
Median
$26,302.68
Typical High
$39,810.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$29,512.09
Typical High
$50,118.72
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$19,498.45
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$23,988.33
Typical High
$41,686.94
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
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$25,703.96
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$21,877.62
Typical High
$45,708.82

Where California sits

The same service costs 5.4 times more in Montana than in West Virginia. 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· 2nd of 51

$29,512

MT $48,978WV $9,120

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.