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Other Musculoskeletal/Connective Tissue Surgery (with CC)

California rates for MS-DRG 516

Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC

Rates data updated July 2026.

How much does Other Musculoskeletal/Connective Tissue Surgery (with CC) cost?

$45,709

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $42,658 to $51,286.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45,709 · 10th to 90th $28,184 to $75,858
$100.0$1.0K$10.0K$100.0Kfacility $45,709

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
$37,153.52
Median
$47,863.01
Typical High
$75,857.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$45,708.82
Typical High
$75,857.76
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$33,884.42
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,904.51
Typical High
$69,183.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$42,657.95
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$41,686.94
Typical High
$72,443.60

Where California sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $45,709 · 9th of 51
NY $53,703NM $16,596

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.