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Ohio 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?

$14,454

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $11,482 to $18,621.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14,454 · 10th to 90th $9,550 to $21,878
$10K$20Kfacility $14,454

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
$9,772.37
Median
$14,454.40
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$14,454.40
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$14,454.40
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$15,848.93
Typical High
$21,379.62
SummaCare
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$9,332.54
Typical High
$12,589.25
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$16,982.44
Typical High
$23,442.29

Where Ohio 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.

Ohio· 34th of 51

$14,454

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.