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Otitis Media and URI with Major Complications

New Jersey 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?

$25,119

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $19,498 to $31,623.

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 $25,119 · 10th to 90th $14,454 to $38,019
$5.0K$10.0K$20.0K$50.0Kfacility $25,119

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
$18,197.01
Median
$28,183.83
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$28,840.32
Typical High
$38,018.94
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$19,952.62
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,489.63
Typical High
$32,359.37

Where New Jersey 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.

New Jersey $25,119 · 10th 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.