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Prematurity with Major Problems

Ohio rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$56,234

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $41,687 to $70,795.

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 $56,234 · 10th to 90th $33,884 to $79,433
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $56,234

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$64,565.42
Typical High
$79,432.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$50,118.72
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$44,668.36
Typical High
$87,096.36
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$48,977.88
Typical High
$102,329.30
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$31,622.78
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$52,480.75
Typical High
$89,125.09

Where Ohio 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.

Ohio $56,234 · 30th 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.