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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 July 2026.

How much does Full Term Neonate with Major Problems cost?

$57,544

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $41,687 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $57,544 · 10th to 90th $32,359 to $81,283
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $57,544

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
$48,977.88
Median
$66,069.34
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$51,286.14
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$45,708.82
Typical High
$89,125.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$16,595.87
Typical High
$72,443.60
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$33,113.11
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$53,703.18
Typical High
$91,201.08

Where Ohio sits

The same service costs 14.1 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $57,544 · 28th of 51
AK $102,329WV $7,244

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.