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Otitis Media and URI with Major Complications

Florida 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?

$17,783

Typical facility fee. In Florida, October 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $12,023 to $23,988.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $9,550 to $30,903
$10K$20K$50Kfacility $17,783

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
$14,791.08
Median
$19,952.62
Typical High
$36,307.81
Ambetter
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$25,118.86
AvMed
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$15,488.17
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$21,379.62
Typical High
$31,622.78
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$17,378.01
Typical High
$30,902.95
United
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$21,379.62
Typical High
$31,622.78

Where Florida 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.

Florida· 27th of 51

$17,783

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.