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Prematurity with Major Problems

North Carolina rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$51,286

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $40,738 to $72,444.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $51,286 · 10th to 90th $19,953 to $83,176
$500$2K$10K$50Kfacility $51,286

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
$37,153.52
Median
$46,773.51
Typical High
$79,432.82
Ambetter
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,754.40
Typical High
$26,302.68
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$41,686.94
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$48,977.88
Typical High
$81,283.05
Medcost
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$38,904.51
Typical High
$50,118.72
United
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$69,183.10
Typical High
$91,201.08

Where North Carolina sits

The same service costs 398.1 times more in Alaska 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.

North Carolina· 29th of 51

$51,286

AK $109,648HI $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.