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Inborn and Other Disorders of Metabolism

West Virginia 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?

$13,490

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $12,303 to $17,378.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,490 · 10th to 90th $12,303 to $24,547
$1K$2K$5K$10K$20Kfacility $13,490

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
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$19,498.45
Typical High
$26,915.35
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$12,589.25
Typical High
$19,498.45

Where West Virginia 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.

West Virginia· 45th of 51

$13,490

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.