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Florida rates for MS-DRG 542

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC

Rates data updated July 2026.

How much does MS-DRG 542 cost?

$28,840

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $20,417 to $39,811.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $13,804 to $53,703
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $28,840

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
$22,387.21
Median
$36,307.81
Typical High
$61,659.50
AvMed
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$20,417.38
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$30,199.52
Typical High
$46,773.51
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$30,902.95
Typical High
$43,651.58

Where Florida sits

The same service costs 3.4 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $28,840 · 23rd of 51
MT $47,863NM $14,125

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.