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South Dakota 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?

$19,953

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $18,621 to $19,953.

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 $19,953 · 10th to 90th $13,183 to $30,200
$20.0K$50.0Kfacility $19,953

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
$18,620.87
Median
$25,118.86
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,952.62
Typical High
$19,952.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,595.87
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$20,892.96
Typical High
$32,359.37

Where South Dakota 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.

South Dakota $19,953 · 43rd 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.