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Otitis Media and URI with Major Complications

Idaho 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?

$16,596

Typical facility fee. In Idaho, October 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $12,023 to $20,893.

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 $16,596 · 10th to 90th $9,550 to $25,704
$10K$20Kfacility $16,596

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
$10,471.29
Median
$10,471.29
Typical High
$18,620.87
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$31,622.78
Typical High
$38,904.51
Moda Health
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$19,952.62
Typical High
$22,387.21
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$17,378.01
Typical High
$25,703.96
Select Health
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$23,988.33
United
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$15,488.17
Typical High
$22,908.68

Where Idaho 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.

Idaho· 29th of 51

$16,596

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.