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Otitis Media and URI with Major Complications

Massachusetts 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?

$18,197

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $11,220 to $25,119.

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 $18,197 · 10th to 90th $8,128 to $30,903
$200.0$1.0K$5.0K$20.0Kfacility $18,197

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
$11,220.18
Median
$19,498.45
Typical High
$30,902.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$16,982.44
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$26,302.68
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$25,703.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$16,595.87
Typical High
$44,668.36
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$16,982.44
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$13,803.84
Typical High
$35,481.34

Where Massachusetts sits

The same service costs 5.4 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $18,197 · 26th of 51
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.