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Full Term Neonate with Major Problems

Ohio rates for MS-DRG 793

Full Term Neonate with Major Problems

Rates data updated October 2026.

How much does Full Term Neonate with Major Problems cost?

$58,884

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $43,652 to $72,444.

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 $58,884 · 10th to 90th $29,512 to $85,114
$5K$10K$20K$50K$100Kfacility $58,884

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
$48,977.88
Median
$60,255.96
Typical High
$85,113.80
Ambetter
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$15,488.17
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$61,659.50
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$50,118.72
Typical High
$89,125.09
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$25,703.96
Typical High
$64,565.42
SummaCare
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$37,153.52
Typical High
$51,286.14
United
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$69,183.10
Typical High
$93,325.43

Where Ohio sits

The same service costs 407.4 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.

Ohio· 20th of 51

$58,884

AK $112,202HI $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.