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Prematurity with Major Problems

Massachusetts rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$54,954

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $9,772 to $85,114.

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 $54,954 · 10th to 90th $6,026 to $104,713
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $54,954

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
$9,120.11
Median
$63,095.73
Typical High
$104,712.85
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$46,773.51
Typical High
$144,543.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$38,904.51
Typical High
$91,201.08
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$89,125.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$9,772.37
Typical High
$67,608.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$46,773.51
Typical High
$144,543.98
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$40,738.03
Typical High
$67,608.30

Where Massachusetts sits

The same service costs 8.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $54,954 · 31st of 51
AK $100,000WV $11,749

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.