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Inborn and Other Disorders of Metabolism

Massachusetts 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?

$21,878

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $13,490 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $9,772 to $37,154
$200$1K$5K$20Kfacility $21,878

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
$13,489.63
Median
$23,442.29
Typical High
$37,153.52
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$20,417.38
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$31,622.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$30,902.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$19,952.62
Typical High
$53,703.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$20,417.38
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$16,595.87
Typical High
$42,657.95

Where Massachusetts 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.

Massachusetts· 26th of 51

$21,878

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.