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Prematurity without Major Problems

Ohio rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated July 2026.

How much does Prematurity without Major Problems cost?

$33,884

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $25,119 to $42,658.

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 $33,884 · 10th to 90th $19,953 to $47,863
$5K$10K$20K$50Kfacility $33,884

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
$28,840.32
Median
$38,904.51
Typical High
$47,863.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$30,199.52
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$26,915.35
Typical High
$52,480.75
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$16,218.10
Typical High
$95,499.26
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$19,498.45
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$31,622.78
Typical High
$53,703.18

Where Ohio sits

The same service costs 11.5 times more in Montana than in West Virginia. 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.

Ohio· 26th of 51

$33,884

MT $72,444WV $6,310

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.