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Tennessee 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?

$27,542

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $27,542 for this service. Most negotiated rates run $19,498 to $35,481.

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 $27,542 · 10th to 90th $14,791 to $43,652
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $27,542

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
$14,791.08
Median
$35,481.34
Typical High
$43,651.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,199.52
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$29,512.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$23,442.29
Typical High
$37,153.52

Where Tennessee 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.

Tennessee $27,542 · 28th 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.