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North Carolina 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?

$13,490

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $10,233 to $16,596.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,490 · 10th to 90th $9,333 to $20,417
$2.0K$5.0K$10.0K$20.0Kfacility $13,490

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
$9,772.37
Median
$13,182.57
Typical High
$20,417.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$11,748.98
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$15,848.93
Typical High
$20,892.96
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,125.38
Typical High
$22,387.21

Where North Carolina 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.

North Carolina $13,490 · 34th 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.