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New York 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?

$43,652

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $23,988 to $54,954.

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 $43,652 · 10th to 90th $15,488 to $69,183
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $43,652

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
$12,589.25
Median
$35,481.34
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$57,543.99
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$42,657.95
Typical High
$60,255.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$43,651.58
Typical High
$91,201.08
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$30,199.52
Typical High
$57,543.99

Where New York 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 York $43,652 · 3rd 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.