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Inborn and Other Disorders of Metabolism

Iowa 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?

$16,982

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $15,488 to $19,498.

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 $16,982 · 10th to 90th $13,804 to $24,547
$10K$20Kfacility $16,982

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
$13,803.84
Median
$16,982.44
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,791.08
Typical High
$22,387.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$16,982.44
Typical High
$26,302.68
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$19,054.61
Typical High
$27,542.29

Where Iowa 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.

Iowa· 37th of 51

$16,982

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.