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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 October 2026.

How much does Otitis Media and URI with Major Complications cost?

$14,125

Typical facility fee. In South Carolina, October 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $9,333 to $24,547.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,125 · 10th to 90th $7,244 to $34,674
$5K$10K$20K$50Kfacility $14,125

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
$14,454.40
Median
$20,892.96
Typical High
$46,773.51
Ambetter
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$25,118.86
Typical High
$34,673.69
Medcost
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$12,882.50
Typical High
$14,125.38
United
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$30,199.52
Typical High
$46,773.51

Where South Carolina 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.

South Carolina· 38th of 51

$14,125

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.