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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 October 2026.

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

$22,387

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $16,596 to $30,903.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,387 · 10th to 90th $8,511 to $41,687
$200$1K$5K$20Kfacility $22,387

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$54,954.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$19,952.62
Typical High
$42,657.95
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$21,877.62
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$42,657.95
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$26,915.35
Typical High
$47,863.01
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$20,892.96
Typical High
$44,668.36

Where California sits

The same service costs 117.5 times more in Alaska than in Hawaii. 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· 13th of 51

$22,387

AK $32,359HI $275

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.