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Oregon 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?

$40,738

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $32,359 to $51,286.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $23,988 to $60,256
$200$1K$5K$20K$100Kfacility $40,738

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
$34,673.69
Median
$48,977.88
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$42,657.95
Typical High
$69,183.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$36,307.81
Typical High
$56,234.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$38,904.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$42,657.95
Typical High
$66,069.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$36,307.81
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$39,810.72
Typical High
$47,863.01

Where Oregon sits

The same service costs 3.4 times more in Montana than in New Mexico. 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.

Oregon· 8th of 51

$40,738

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.