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Prematurity with Major Problems

Washington rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$89,125

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $67,608 to $109,648.

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 $89,125 · 10th to 90th $45,709 to $134,896
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $89,125

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
$67,608.30
Median
$104,712.85
Typical High
$169,824.37
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$79,432.82
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$79,432.82
Typical High
$131,825.67
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$69,183.10
Typical High
$72,443.60
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$57,543.99
Typical High
$97,723.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$81,283.05
Typical High
$112,201.85
United
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$81,283.05
Typical High
$117,489.76

Where Washington 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.

Washington $89,125 · 6th 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.