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Bone Diseases and Arthropathies without Major Complications

California rates for MS-DRG 554

Bone Diseases and Arthropathies without MCC

Rates data updated October 2026.

How much does Bone Diseases and Arthropathies without Major Complications cost?

$16,596

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $12,882 to $23,442.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $8,710 to $28,184
$200$500$1K$2K$5K$10K$20Kfacility $16,596

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
$12,302.69
Median
$20,417.38
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$25,703.96
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$15,848.93
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$19,054.61
Typical High
$29,512.09
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$21,379.62
Typical High
$33,113.11
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$15,135.61
Typical High
$31,622.78

Where California sits

The same service costs 81.3 times more in Alaska 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.

California· 14th of 51

$16,596

AK $22,387HI $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.