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Prematurity with Major Problems

Texas rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$58,884

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $38,019 to $83,176.

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 $58,884 · 10th to 90th $29,512 to $95,499
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $58,884

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
$38,904.51
Median
$58,884.37
Typical High
$95,499.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$39,810.72
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$70,794.58
Typical High
$104,712.85
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$144,543.98
Median
$144,543.98
Typical High
$144,543.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$48,977.88
Typical High
$123,026.88
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$33,884.42
Typical High
$56,234.13

Where Texas 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.

Texas $58,884 · 25th 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.