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Otitis Media and URI with Major Complications

Washington, DC 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?

$25,704

Typical facility fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $20,417 to $33,884.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,704 · 10th to 90th $14,125 to $47,863
$10K$20K$50Kfacility $25,704

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$28,183.83
Typical High
$29,512.09
CareFirst
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$25,703.96
Typical High
$51,286.14
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$26,302.68
Typical High
$47,863.01

Where Washington, DC 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.

Washington, DC· 7th of 51

$25,704

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.