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Otitis Media and URI with Major Complications

South Carolina 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?

$19,055

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $10,233 to $28,184.

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 $19,055 · 10th to 90th $7,244 to $46,774
$5.0K$10.0K$20.0K$50.0Kfacility $19,055

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
$18,620.87
Median
$28,183.83
Typical High
$53,703.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,232.93
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$27,542.29
Typical High
$46,773.51

Where South Carolina 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.

South Carolina $19,055 · 24th 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.