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Other Ear, Nose, Mouth and Throat Diagnoses (with MCC)

West Virginia rates for MS-DRG 154

Other Ear, Nose, Mouth and Throat Diagnoses with MCC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Diagnoses (with MCC) cost?

$14,454

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $11,749 to $16,218.

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 $14,454 · 10th to 90th $11,482 to $26,915
$5K$10K$20Kfacility $14,454

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
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$21,379.62
Typical High
$29,512.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$11,748.98
Typical High
$21,877.62

Where West Virginia sits

The same service costs 5.8 times more in Montana than in New Mexico. 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· 48th of 51

$14,454

MT $72,444NM $12,589

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.