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Inborn and Other Disorders of Metabolism

Florida rates for MS-DRG 642

Inborn and Other Disorders of Metabolism

Rates data updated July 2026.

How much does Inborn and Other Disorders of Metabolism cost?

$23,442

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $16,596 to $32,359.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $11,749 to $43,652
$10K$20K$50Kfacility $23,442

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
$18,197.01
Median
$29,512.09
Typical High
$50,118.72
AvMed
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,595.87
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$23,988.33
Typical High
$38,018.94
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,054.61
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$25,118.86
Typical High
$34,673.69

Where Florida sits

The same service costs 4.4 times more in Montana than in Mississippi. 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.

Florida· 19th of 51

$23,442

MT $48,978MS $11,220

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.