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Georgia rates for MS-DRG 543

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC

Rates data updated July 2026.

How much does MS-DRG 543 cost?

$20,417

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $13,804 to $26,915.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,417 · 10th to 90th $8,710 to $30,200
$100.0$500.0$2.0K$10.0Kfacility $20,417

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
$12,302.69
Median
$20,417.38
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$20,892.96
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$15,848.93
Typical High
$28,840.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$9,549.93
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$12,589.25
Typical High
$22,387.21

Where Georgia 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.

Georgia $20,417 · 13th of 51
MT $28,184NM $8,318

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.