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New York 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?

$22,909

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $16,596 to $32,359.

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 $22,909 · 10th to 90th $10,965 to $39,811
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $22,909

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
$9,332.54
Median
$19,498.45
Typical High
$33,884.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,113.11
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$25,118.86
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$18,620.87
Typical High
$33,113.11

Where New York 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 York $22,909 · 10th 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.