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Otitis Media and Uri without Major Complications

Wisconsin 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?

$12,589

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $10,715 to $15,488.

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 $12,589 · 10th to 90th $7,586 to $18,621
$200$500$1K$2K$5K$10K$20Kfacility $12,589

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
$11,220.18
Median
$11,220.18
Typical High
$13,182.57
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$13,182.57
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$12,882.50
Typical High
$19,054.61
DeanCare
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$10,964.78
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$13,489.63
Typical High
$18,197.01
Quartz
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$8,511.38
Typical High
$14,791.08
Security Health
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$13,489.63
Typical High
$15,848.93
United
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$14,125.38
Typical High
$17,378.01

Where Wisconsin 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.

Wisconsin· 18th of 51

$12,589

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.