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Otitis Media and URI with Major Complications

Pennsylvania 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 Pennsylvania, October 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $11,749 to $22,387.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $9,333 to $26,303
$5K$10K$20Kfacility $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
$11,481.54
Median
$19,498.45
Typical High
$27,542.29
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$19,054.61
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$19,498.45
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$25,118.86
Geisinger
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$16,982.44
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$19,498.45
Typical High
$23,988.33
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$19,952.62
Typical High
$28,183.83
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$18,620.87
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$16,982.44
Typical High
$26,302.68

Where Pennsylvania 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.

Pennsylvania· 25th 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.