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Michigan rates for MS-DRG 543

Pathological fractures & musculoskelet & conn tiss malig w CC

Facilitymedian $20,417 · 10th–90th $8,710–$61,6600%5%10th90th$20,417$1.0K$5.0K$20.0K$100.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $13,489.63 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $25,118.86 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $20,417.38 / $60,255.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $12,882.50 / $16,982.44
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $20,892.96 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $12,302.69 / $18,620.87