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Prematurity without Major Problems

Texas rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated October 2026.

How much does Prematurity without Major Problems cost?

$26,915

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $15,849 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $7,079 to $57,544
$2K$5K$10K$20K$50K$100Kfacility $26,915

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
$22,908.68
Median
$42,657.95
Typical High
$57,543.99
Ambetter
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$7,943.28
Typical High
$33,113.11
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$15,848.93
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$28,183.83
Typical High
$53,703.18
Moda Health
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$57,543.99
Typical High
$57,543.99
Providence
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$74,131.02
United
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$26,915.35
Typical High
$67,608.30

Where Texas sits

The same service costs 239.9 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.

Texas· 34th of 51

$26,915

AK $66,069HI $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.