go back

Virginia 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?

$18,197

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $15,136 to $19,953.

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 $18,197 · 10th to 90th $12,023 to $22,909
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $18,197

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
$14,454.40
Median
$17,782.79
Typical High
$20,417.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,054.61
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$24,547.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$18,197.01
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$14,454.40
Typical High
$28,183.83

Where Virginia 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.

Virginia $18,197 · 20th 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.