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California rates for MS-DRG 152

Otitis media & URI w MCC

Facilitymedian $29,512 · 10th–90th $15,136–$50,1190%10%20%10th90th$29,512$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $27,542.29 / $50,118.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $29,512.09 / $50,118.72
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,498.45 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $23,988.33 / $41,686.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $25,703.96 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $23,442.29 / $45,708.82