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Bone Diseases and Arthropathies without Major Complications

Maine 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?

$15,849

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $12,882 to $16,596.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,849 · 10th to 90th $10,715 to $19,498
$10K$20Kfacility $15,849

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$12,882.50
Typical High
$25,118.86
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19

Where Maine 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.

Maine· 13th of 51

$15,849

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.