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Prematurity with Major Problems

Virginia rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$67,608

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $45,709 to $81,283.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $67,608 · 10th to 90th $4,677 to $102,329
$5K$10K$20K$50K$100Kfacility $67,608

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
$45,708.82
Median
$77,624.71
Typical High
$85,113.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$74,131.02
Typical High
$104,712.85
CareFirst
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,981.07
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$50,118.72
Typical High
$89,125.09
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
Medcost
Setting
Facility
Modifier
None
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Sentara
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$63,095.73
Typical High
$91,201.08
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$79,432.82
Typical High
$112,201.85

Where Virginia 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.

Virginia· 13th of 51

$67,608

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.