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Otitis Media and Uri without Major Complications

West Virginia 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?

$10,233

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $6,918 to $11,749.

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 $10,233 · 10th to 90th $5,495 to $13,490
$2K$5K$10Kfacility $10,233

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$14,125.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$5,754.40
Typical High
$12,022.64
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$12,589.25

Where West Virginia 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.

West Virginia· 33rd of 51

$10,233

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.