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Washington 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?

$39,811

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $32,359 to $47,863.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39,811 · 10th to 90th $25,119 to $58,884
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $39,811

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
$29,512.09
Median
$44,668.36
Typical High
$72,443.60
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$37,153.52
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$38,018.94
Typical High
$57,543.99
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,902.95
Typical High
$35,481.34
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$35,481.34
Typical High
$53,703.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$38,018.94
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$34,673.69
Typical High
$51,286.14

Where Washington 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.

Washington $39,811 · 9th 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.