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Missouri 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?

$20,893

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $17,378 to $26,915.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,893 · 10th to 90th $13,183 to $35,481
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $20,893

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
$18,197.01
Median
$25,118.86
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$20,417.38
Typical High
$33,884.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151,356.12
Median
$151,356.12
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$22,908.68
Typical High
$36,307.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$21,877.62
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$19,498.45
Typical High
$29,512.09

Where Missouri 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.

Missouri $20,893 · 41st 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.