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Otitis Media and URI with Major Complications

Tennessee 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?

$13,490

Typical facility fee. In Tennessee, October 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $10,000 to $17,783.

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 $7,586 to $21,380
$2K$5K$10K$20Kfacility $13,490

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
$9,772.37
Median
$13,489.63
Typical High
$29,512.09
BCBS Tennessee
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$10,471.29
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$15,848.93
Typical High
$21,379.62
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$15,488.17
Typical High
$22,908.68

Where Tennessee 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.

Tennessee· 42nd of 51

$13,490

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.