go back

Bone Diseases and Arthropathies without Major Complications

California rates for MS-DRG 554

Bone Diseases and Arthropathies without MCC

Rates data updated July 2026.

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

$22,909

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $20,417 to $23,988.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,909 · 10th to 90th $13,490 to $30,200
$500$1K$2K$5K$10K$20Kfacility $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
$15,135.61
Median
$20,892.96
Typical High
$27,542.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$23,988.33
Typical High
$30,199.52
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,791.08
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$17,378.01
Typical High
$29,512.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$21,379.62
Typical High
$32,359.37
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,488.17
Typical High
$32,359.37

Where California sits

The same service costs 3.4 times more in California than in New Mexico. 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· 1st of 51

$22,909

CA $22,909NM $6,761

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.