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Neonate with Other Significant Problems

Massachusetts rates for MS-DRG 794

Neonate with Other Significant Problems

Rates data updated July 2026.

How much does Neonate with Other Significant Problems cost?

$19,953

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $9,772 to $31,623.

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 $19,953 · 10th to 90th $3,890 to $38,905
$200$1K$5K$20Kfacility $19,953

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
$3,890.45
Median
$22,908.68
Typical High
$38,904.51
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$16,982.44
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$14,125.38
Typical High
$33,113.11
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$32,359.37
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$9,772.37
Typical High
$24,547.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$16,982.44
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$14,791.08
Typical High
$24,547.09

Where Massachusetts sits

The same service costs 17.8 times more in Montana than in Idaho. 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.

Massachusetts· 27th of 51

$19,953

MT $72,444ID $4,074

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.