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Ohio 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?

$25,119

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $19,953 to $31,623.

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 $25,119 · 10th to 90th $15,136 to $37,154
$10K$20K$50Kfacility $25,119

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
$16,982.44
Median
$25,118.86
Typical High
$36,307.81
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$24,547.09
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$25,118.86
Typical High
$37,153.52
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$26,915.35
Typical High
$37,153.52
SummaCare
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$21,877.62
United
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$29,512.09
Typical High
$41,686.94

Where Ohio 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.

Ohio· 30th of 51

$25,119

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.