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Otitis Media and URI with Major Complications

Texas 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?

$14,454

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $10,233 to $19,498.

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 $14,454 · 10th to 90th $6,761 to $27,542
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $14,454

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
$11,220.18
Median
$16,982.44
Typical High
$28,183.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$11,481.54
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,782.79
Typical High
$32,359.37
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$30,199.52

Where Texas 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.

Texas $14,454 · 36th 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.