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Prematurity with Major Problems

New Jersey rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$72,444

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $72,444 for this service. Most negotiated rates run $47,863 to $102,329.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72,444 · 10th to 90th $19,055 to $128,825
$5K$10K$20K$50K$100Kfacility $72,444

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$81,283.05
Typical High
$117,489.76
Ambetter
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$102,329.30
Typical High
$177,827.94
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$46,773.51
Median
$79,432.82
Typical High
$123,026.88
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$18,197.01
Typical High
$112,201.85

Where New Jersey sits

The same service costs 398.1 times more in Alaska than in Hawaii. 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· 9th of 51

$72,444

AK $109,648HI $275

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.