4234 (APR_DRG) by state — Price Transparency

APR-DRG · across United States

4234 — Inborn Errors Of Metabolism

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$27,631 National median

$17,235 – $45,309 IQR (p25 – p75)

1,154 hospitals filing

42 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $14,792.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 4234 (APR_DRG), with interquartile range
State	Median	p25	p75
RI	$79,722	$51,578	$86,119
SD	$77,959	$37,358	$78,382
MA	$67,408	$51,064	$88,101
MD	$65,004	$65,004	$66,235
DC	$60,835	$54,395	$68,088
NY	$60,011	$42,909	$95,292
IA	$58,998	$32,438	$59,986
ND	$56,267	$36,429	$56,267
VA	$44,960	$42,290	$48,339
MO	$43,686	$20,766	$50,502
NE	$38,975	$29,778	$68,637
PA	$35,948	$31,138	$43,901
VT	$35,080	$31,610	$60,869
NJ	$34,616	$30,704	$39,234
ID	$33,785	$30,186	$35,461
WI	$32,807	$30,786	$48,982
WA	$31,468	$30,475	$32,260
IN	$31,128	$19,717	$31,128
MN	$31,095	$23,366	$51,930
NC	$28,749	$28,749	$38,877
OR	$27,839	$27,839	$27,839
CO	$24,828	$23,198	$28,023
SC	$24,771	$1,060	$31,756
CA	$24,552	$21,884	$26,737
AR	$24,552	$24,552	$25,121
OK	$23,741	$23,741	$23,741
KS	$21,884	$21,884	$21,884
MI	$21,794	$19,581	$27,485
AZ	$19,242	$17,288	$41,300
HI	$19,061	$18,609	$33,834
NV	$18,052	$18,052	$18,052
TX	$17,617	$15,780	$32,255
FL	$17,337	$16,076	$19,626
TN	$15,636	$15,329	$21,231
MS	$15,483	$15,329	$15,789
LA	$15,329	$15,329	$15,329
WV	$15,276	$15,276	$15,276
AL	$15,187	$15,187	$16,706
GA	$15,078	$14,413	$17,928
IL	$14,557	$13,783	$15,364
OH	$14,525	$11,770	$18,116
KY	$9,312	$6,579	$9,312

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

RI	$79,722	$51,578	$86,119	$37,645	$166,226	8	7	45
SD	$77,959	$37,358	$78,382	$11,001	$90,982	5	4	9
MA	$67,408	$51,064	$88,101	$14,170	$883,280	25	36	170
MD	$65,004	$65,004	$66,235	$65,004	$67,466	1 ⚠ thin data	3	3
DC	$60,835	$54,395	$68,088	$17,611	$86,121	5	27	46
NY	$60,011	$42,909	$95,292	$1,077	$446,794	75	79	2,492
IA	$58,998	$32,438	$59,986	$15,274	$86,388	20	11	72
ND	$56,267	$36,429	$56,267	$14,047	$88,222	16	8	42
VA	$44,960	$42,290	$48,339	$41,180	$88,745	16	10	150
MO	$43,686	$20,766	$50,502	$12,885	$65,817	12	15	48
NE	$38,975	$29,778	$68,637	$11,994	$86,388	17	12	111
PA	$35,948	$31,138	$43,901	$8,495	$151,897	85	57	729
VT	$35,080	$31,610	$60,869	$22,087	$72,512	3	6	14
NJ	$34,616	$30,704	$39,234	$3,838	$57,712	42	25	244
ID	$33,785	$30,186	$35,461	$27,838	$41,253	4	7	25
WI	$32,807	$30,786	$48,982	$3,319	$97,762	34	56	256
WA	$31,468	$30,475	$32,260	$22,361	$110,865	17	9	121
IN	$31,128	$19,717	$31,128	$5,388	$31,352	32	31	314
MN	$31,095	$23,366	$51,930	$1,421	$89,460	51	55	366
NC	$28,749	$28,749	$38,877	$28,749	$49,006	2 ⚠ thin data	3	3
OR	$27,839	$27,839	$27,839	$27,839	$27,839	1 ⚠ thin data	3	3
CO	$24,828	$23,198	$28,023	$12,524	$35,162	26	10	66
SC	$24,771	$1,060	$31,756	$806	$145,166	29	33	214
CA	$24,552	$21,884	$26,737	$2	$204,519	89	128	1,117
AR	$24,552	$24,552	$25,121	$15,636	$30,690	2 ⚠ thin data	4	8
OK	$23,741	$23,741	$23,741	$23,741	$23,741	2 ⚠ thin data	3	6
KS	$21,884	$21,884	$21,884	$21,884	$38,954	1 ⚠ thin data	7	12
MI	$21,794	$19,581	$27,485	$1,600	$50,872	28	27	209
AZ	$19,242	$17,288	$41,300	$12,012	$54,716	37	41	280
HI	$19,061	$18,609	$33,834	$3,350	$40,442	7	10	46
NV	$18,052	$18,052	$18,052	$18,052	$18,052	3	1	3
TX	$17,617	$15,780	$32,255	$4	$202,230	185	96	2,347
FL	$17,337	$16,076	$19,626	$5	$42,441	116	68	1,960
TN	$15,636	$15,329	$21,231	$13,932	$26,826	6	5	15
MS	$15,483	$15,329	$15,789	$15,187	$26,826	28	13	121
LA	$15,329	$15,329	$15,329	$15,329	$16,096	4	30	51
WV	$15,276	$15,276	$15,276	$15,276	$16,040	1 ⚠ thin data	7	14
AL	$15,187	$15,187	$16,706	$15,187	$22,757	4	7	10
GA	$15,078	$14,413	$17,928	$6,034	$35,910	21	12	83
IL	$14,557	$13,783	$15,364	$8,812	$53,030	38	31	243
OH	$14,525	$11,770	$18,116	$1,600	$51,158	40	45	335
KY	$9,312	$6,579	$9,312	$6,579	$19,142	11	6	18