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Prematurity with Major Problems

Virginia rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$67,608

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $51,286 to $79,433.

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 $67,608 · 10th to 90th $31,623 to $91,201
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $67,608

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
$56,234.13
Median
$70,794.58
Typical High
$83,176.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$75,857.76
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$67,608.30
Typical High
$97,723.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$63,095.73
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$56,234.13
Typical High
$112,201.85

Where Virginia 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.

Virginia $67,608 · 15th 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.