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Texas 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?

$13,183

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $9,550 to $17,783.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $6,761 to $23,988
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $13,183

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
$14,791.08
Typical High
$27,542.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$10,964.78
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$15,848.93
Typical High
$28,840.32
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$37,153.52
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$11,748.98
Typical High
$12,882.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$13,489.63
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$11,220.18
Typical High
$26,302.68

Where Texas 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.

Texas $13,183 · 36th 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.