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Idaho rates for MS-DRG 542

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC

Rates data updated October 2026.

How much does MS-DRG 542 cost?

$31,623

Typical facility fee. In Idaho, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $21,878 to $46,774.

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 $31,623 · 10th to 90th $18,621 to $75,858
$20K$50K$100Kfacility $31,623

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$27,542.29
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$43,651.58
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$46,773.51
Typical High
$58,884.37
Moda Health
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$30,199.52
Typical High
$37,153.52
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$26,915.35
Typical High
$41,686.94
Select Health
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$24,547.09
Typical High
$38,904.51
United
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$22,908.68
Typical High
$33,884.42

Where Idaho sits

The same service costs 173.8 times more in Alaska than in Hawaii. 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.

Idaho· 16th of 51

$31,623

AK $47,863HI $275

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.