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Full Term Neonate with Major Problems

Maine rates for MS-DRG 793

Full Term Neonate with Major Problems

Rates data updated July 2026.

How much does Full Term Neonate with Major Problems cost?

$79,433

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $61,660 to $83,176.

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 $79,433 · 10th to 90th $37,154 to $91,201
$50.0K$100.0Kfacility $79,433

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$83,176.38
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$64,565.42
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18

Where Maine sits

The same service costs 14.1 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.

Maine $79,433 · 11th of 51
AK $102,329WV $7,244

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.