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Prematurity without Major Problems

Virginia rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated July 2026.

How much does Prematurity without Major Problems cost?

$40,738

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $31,623 to $48,978.

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 $40,738 · 10th to 90th $19,498 to $54,954
$5K$10K$20K$50Kfacility $40,738

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
$33,884.42
Median
$42,657.95
Typical High
$50,118.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$45,708.82
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$40,738.03
Typical High
$58,884.37
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$38,018.94
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$33,884.42
Typical High
$67,608.30

Where Virginia 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.

Virginia· 14th of 51

$40,738

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.