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Inborn and Other Disorders of Metabolism

New Jersey 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?

$30,200

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $22,909 to $38,019.

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 $30,200 · 10th to 90th $17,378 to $45,709
$10K$20K$50Kfacility $30,200

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
$21,877.62
Median
$33,884.42
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$34,673.69
Typical High
$45,708.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$23,442.29
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$14,791.08
Typical High
$38,904.51

Where New Jersey 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.

New Jersey· 8th of 51

$30,200

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.