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North Carolina 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?

$14,791

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $14,791 for this service. Most negotiated rates run $10,965 to $19,055.

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 $14,791 · 10th to 90th $9,333 to $21,380
$2K$5K$10K$20Kfacility $14,791

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$13,489.63
Typical High
$20,417.38
Ambetter
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$17,378.01
Typical High
$17,782.79
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$20,892.96
Medcost
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$10,000.00
Typical High
$14,454.40
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
United
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$16,982.44
Typical High
$22,387.21

Where North Carolina 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.

North Carolina· 32nd of 51

$14,791

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.