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Prematurity with Major Problems

Maine rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$75,858

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $60,256 to $81,283.

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 $75,858 · 10th to 90th $35,481 to $89,125
$50.0K$100.0Kfacility $75,858

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$81,283.05
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$63,095.73
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$60,255.96
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75

Where Maine sits

The same service costs 8.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $75,858 · 12th of 51
AK $100,000WV $11,749

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.