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Otitis Media and URI with Major Complications

South Dakota 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?

$13,490

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $12,589 to $13,490.

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 $13,490 · 10th to 90th $8,710 to $19,055
$10.0K$20.0Kfacility $13,490

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
$12,589.25
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$13,489.63
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,302.69
Typical High
$20,417.38

Where South Dakota 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 Dakota $13,490 · 41st 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.