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Otitis Media and URI with Major Complications

Washington 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?

$25,704

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $20,893 to $31,623.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,704 · 10th to 90th $15,849 to $38,905
$5.0K$10.0K$20.0K$50.0Kfacility $25,704

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
$19,952.62
Median
$30,199.52
Typical High
$48,977.88
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$23,988.33
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$25,703.96
Typical High
$38,904.51
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$19,054.61
Typical High
$19,952.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$21,379.62
Typical High
$32,359.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$23,442.29
Typical High
$32,359.37
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$23,442.29
Typical High
$33,884.42

Where Washington 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.

Washington $25,704 · 9th 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.