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Otitis Media and URI with Major Complications

West Virginia 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?

$9,120

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $9,120 for this service. Most negotiated rates run $7,413 to $12,303.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $9,120 · 10th to 90th $7,244 to $20,417
$2.0K$5.0K$10.0K$20.0Kfacility $9,120

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. Small sample; interpret with caution. 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
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$16,218.10
Typical High
$22,387.21
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$16,218.10

Where West Virginia 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.

West Virginia $9,120 · 51st 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.