go back

North Carolina 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?

$21,878

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $17,378 to $27,542.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $15,488 to $34,674
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $21,878

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
$16,982.44
Median
$20,417.38
Typical High
$34,673.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,952.62
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$26,302.68
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$38,018.94

Where North Carolina 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.

North Carolina $21,878 · 36th 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.