go back

Inborn and Other Disorders of Metabolism

Indiana 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?

$25,119

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $20,893 to $30,200.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,119 · 10th to 90th $14,791 to $34,674
$10K$20Kfacility $25,119

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
$19,952.62
Median
$26,302.68
Typical High
$36,307.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$24,547.09
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$21,379.62
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$20,417.38
Typical High
$28,183.83

Where Indiana 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.

Indiana· 14th of 51

$25,119

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.