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Wisconsin 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?

$32,359

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $24,547 to $38,905.

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 $32,359 · 10th to 90th $17,783 to $47,863
$200.0$1.0K$5.0K$20.0Kfacility $32,359

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
$26,302.68
Median
$31,622.78
Typical High
$33,113.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$33,884.42
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$27,542.29
Typical High
$50,118.72
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$26,302.68
Typical High
$33,884.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$30,902.95
Typical High
$51,286.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$19,952.62
Typical High
$26,302.68
Security Health
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$36,307.81
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$33,113.11
Typical High
$41,686.94

Where Wisconsin 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.

Wisconsin $32,359 · 14th 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.