423 - 4 — Inborn Errors Of Metabolism
Cite this view
HANK Price Transparency. (n.d.). INBORN ERRORS OF METABOLISM (OTHER 423 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/423 - 4?code_type=OTHER
“INBORN ERRORS OF METABOLISM (OTHER 423 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/423 - 4?code_type=OTHER. Accessed .
“INBORN ERRORS OF METABOLISM (OTHER 423 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/423 - 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,978–$35,429 (25th–75th percentile) across 9 hospitals · 30 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 423 - 4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SHARP MEMORIAL HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $725.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $12,413.27 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $12,446.18 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $15,188.95 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $15,947.74 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $15,947.74 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $15,948.41 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Cigna | Cigna | $16,340.00 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $16,707.15 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $16,707.86 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $16,760.83 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $16,760.83 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | $17,050.42 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $17,163.53 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $17,466.57 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $17,466.57 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna Better Health | $17,599.86 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare - Medicaid | $18,438.90 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Exchange | $22,837.62 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $23,145.43 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $23,631.97 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Medicaid | $23,800.77 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | CareSource | CareSource - Medicaid | $23,800.77 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Molina | Molina - Exchange | $23,830.56 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS | $24,357.74 | — | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $24,823.50 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Department of Athletics | $24,823.50 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $26,248.37 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Humana | Humana Medicaid | $26,983.14 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Medicaid | Medicaid | $27,630.90 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $29,012.43 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $29,012.43 | — | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthspan | Healthspan - Commercial | $29,788.20 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $30,393.99 | — | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - HMO/PPO | $31,937.92 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Lifetrac | Lifetrac | $32,270.55 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $32,466.30 | — | — | 2026-07-01 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $32,470.02 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $32,470.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $32,470.02 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Medicaid | All Plans | $32,470.02 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Medicaid | All Plans | $32,470.02 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $32,470.02 | — | — | 2026-07-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Market | $32,861.35 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | United Healthcare | United Healthcare - Managed Medicaid | $33,157.08 | — | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OSU Health Plan | OSU Health Plan - Partner | $34,013.16 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $34,293.94 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $34,293.94 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - New Business | $34,817.44 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $35,322.76 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Choice | $35,745.84 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | OhioHealth | OhioHealth - Group Healthreach | $36,242.31 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | Aetna | $36,440.90 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | MMO | MMO - Commercial | $36,684.17 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Ohio PPO | Ohio PPO Connect | $36,897.65 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Aetna | First Health | $37,632.43 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $37,723.32 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | United | United Healthcare | $37,960.10 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $38,244.36 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Frontpath | Frontpath Transplant | $39,717.60 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $39,717.60 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $40,295.39 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $41,152.75 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Anthem | Anthem - Traditional | $44,419.17 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Healthsmart | Healthsmart | $44,682.30 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Multiplan | Multiplan | $46,171.71 | $49,647.00 | — | 2026-07-01 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $62,251.59 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $62,251.59 | — | — | 2026-07-15 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $421,001.13 | $601,430.19 | $421,001.13 | 2026-09-01 | MRF ↗ |