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New Mexico 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?

$14,125

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $9,772 to $22,387.

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 $14,125 · 10th to 90th $7,244 to $30,200
$5.0K$10.0K$20.0Kfacility $14,125

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
$8,912.51
Median
$14,791.08
Typical High
$40,738.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$13,489.63
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$15,488.17
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$15,488.17
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$19,498.45
Typical High
$25,118.86

Where New Mexico 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.

New Mexico $14,125 · 51st 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.