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Prematurity with Major Problems

Texas rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$48,978

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $36,308 to $74,131.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $48,978 · 10th to 90th $15,488 to $95,499
$5K$10K$20K$50K$100Kfacility $48,978

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
$38,018.94
Median
$70,794.58
Typical High
$95,499.26
Ambetter
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$46,773.51
Typical High
$58,884.37
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$41,686.94
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$46,773.51
Typical High
$87,096.36
Moda Health
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$95,499.26
Typical High
$95,499.26
Providence
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$63,095.73
Typical High
$123,026.88
United
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$44,668.36
Typical High
$112,201.85

Where Texas 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.

Texas· 32nd of 51

$48,978

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.