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Otitis Media and Uri without Major Complications

California rates for MS-DRG 153

Otitis Media and Upper Respiratory Infection without MCC

Rates data updated October 2026.

How much does Otitis Media and Uri without Major Complications cost?

$14,791

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $14,791 for this service. Most negotiated rates run $11,482 to $21,380.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,791 · 10th to 90th $8,318 to $25,704
$200$500$1K$2K$5K$10K$20Kfacility $14,791

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
$10,715.19
Median
$16,595.87
Typical High
$34,673.69
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$15,848.93
Typical High
$23,442.29
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$14,125.38
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$16,982.44
Typical High
$26,302.68
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$19,054.61
Typical High
$29,512.09
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$13,489.63
Typical High
$28,183.83

Where California sits

The same service costs 74.1 times more in Michigan 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.

California· 13th of 51

$14,791

MI $20,417HI $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.