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Inborn and Other Disorders of Metabolism

Rhode Island 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?

$22,909

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $12,589 to $33,884.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,909 · 10th to 90th $9,772 to $50,119
$10K$20K$50Kfacility $22,909

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$33,884.42
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$30,199.52
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$20,417.38

Where Rhode Island 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.

Rhode Island· 23rd of 51

$22,909

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.