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New Jersey 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?

$23,442

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $17,783 to $27,542.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $13,490 to $33,113
$5.0K$10.0K$20.0K$50.0Kfacility $23,442

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
$15,848.93
Median
$24,547.09
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$25,118.86
Typical High
$33,113.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,952.62
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,489.63
Typical High
$28,183.83

Where New Jersey 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.

New Jersey $23,442 · 8th 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.