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Inborn and Other Disorders of Metabolism

Washington 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 Washington, July 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $23,442 to $37,154.

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 $30,200 · 10th to 90th $18,197 to $46,774
$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
$23,988.33
Median
$36,307.81
Typical High
$58,884.37
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$26,302.68
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,902.95
Typical High
$46,773.51
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$20,892.96
Typical High
$23,988.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$24,547.09
Typical High
$35,481.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$25,703.96
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$28,183.83
Typical High
$40,738.03

Where Washington 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.

Washington· 9th 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.