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Prematurity with Major Problems

Ohio rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$57,544

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $45,709 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 $57,544 · 10th to 90th $34,674 to $85,114
$5K$10K$20K$50K$100Kfacility $57,544

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
$46,773.51
Median
$58,884.37
Typical High
$83,176.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$60,255.96
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$48,977.88
Typical High
$87,096.36
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$44,668.36
Typical High
$85,113.80
SummaCare
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$36,307.81
Typical High
$50,118.72
United
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$67,608.30
Typical High
$91,201.08

Where Ohio 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.

Ohio· 22nd of 51

$57,544

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.