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New York 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?

$24,547

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $17,378 to $31,623.

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 $24,547 · 10th to 90th $11,749 to $39,811
$5K$10K$20K$50Kfacility $24,547

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
$19,498.45
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$30,199.52
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$23,442.29
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$27,542.29
Typical High
$51,286.14
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$17,782.79
Typical High
$31,622.78

Where New York 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.

New York· 4th of 51

$24,547

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.