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Prematurity with Major Problems

Washington rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$79,433

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $58,884 to $102,329.

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 $79,433 · 10th to 90th $37,154 to $123,027
$10K$20K$50K$100Kfacility $79,433

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
$53,703.18
Median
$93,325.43
Typical High
$158,489.32
Ambetter
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$21,379.62
Typical High
$32,359.37
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$64,565.42
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$79,432.82
Typical High
$138,038.43
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$72,443.60
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$58,884.37
Typical High
$97,723.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$72,443.60
Typical High
$109,647.82
United
Setting
Facility
Modifier
None
Typical Low
$61,659.50
Median
$97,723.72
Typical High
$125,892.54

Where Washington 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.

Washington· 7th of 51

$79,433

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.