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Musculoskeletal/Connective Tissue Diagnoses (with MCC)

California rates for MS-DRG 564

Other Musculoskeletal System and Connective Tissue Diagnoses with MCC

Rates data updated October 2026.

How much does Musculoskeletal/Connective Tissue Diagnoses (with MCC) cost?

$28,184

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $21,878 to $40,738.

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 $28,184 · 10th to 90th $8,511 to $54,954
$200$1K$5K$20Kfacility $28,184

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
$22,908.68
Median
$33,884.42
Typical High
$72,443.60
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$25,703.96
Typical High
$56,234.13
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$26,302.68
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$34,673.69
Typical High
$54,954.09
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$37,153.52
Typical High
$64,565.42
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$26,915.35
Typical High
$60,255.96

Where California sits

The same service costs 151.4 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· 13th of 51

$28,184

AK $41,687HI $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.