go back

Massachusetts rates for MS-DRG 543

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC

Rates data updated October 2026.

How much does MS-DRG 543 cost?

$14,454

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $7,413 to $18,621.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $14,454 · 10th to 90th $148 to $27,542
$200$500$1K$2K$5K$10K$20Kfacility $14,454

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$16,982.44
Typical High
$21,877.62
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$14,125.38
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$15,488.17
Typical High
$22,908.68
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$144.54
Typical High
$162.18
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$14,454.40
Typical High
$40,738.03
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$14,125.38
Typical High
$40,738.03
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$14,454.40
Typical High
$34,673.69

Where Massachusetts sits

The same service costs 120.2 times more in Delaware than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 33rd of 51

$14,454

DE $33,113HI $275

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.