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Washington 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 Washington, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $18,621 to $27,542.

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 $22,909 · 10th to 90th $14,125 to $34,674
$5.0K$10.0K$20.0K$50.0Kfacility $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
$17,378.01
Median
$26,302.68
Typical High
$42,657.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$22,387.21
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,387.21
Typical High
$33,884.42
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,197.01
Typical High
$20,892.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,952.62
Typical High
$30,902.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$21,877.62
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$20,417.38
Typical High
$29,512.09

Where Washington 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.

Washington $22,909 · 9th 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.