go back

Otitis Media and URI with Major Complications

Idaho 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?

$16,218

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $12,023 to $20,417.

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 $16,218 · 10th to 90th $9,550 to $25,119
$5K$10K$20Kfacility $16,218

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
$10,471.29
Median
$10,471.29
Typical High
$18,620.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$13,489.63
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$31,622.78
Typical High
$38,904.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$21,379.62
Typical High
$24,547.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,218.10
Typical High
$25,703.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$14,791.08
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$15,488.17
Typical High
$22,387.21

Where Idaho 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.

Idaho· 31st of 51

$16,218

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.