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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 July 2026.

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

$38,905

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $29,512 to $56,234.

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 $38,905 · 10th to 90th $20,417 to $64,565
$200$1K$5K$20Kfacility $38,905

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
$23,442.29
Median
$35,481.34
Typical High
$66,069.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$38,904.51
Typical High
$64,565.42
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$25,118.86
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$54,954.09
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
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$26,915.35
Typical High
$60,255.96

Where California sits

The same service costs 3.2 times more in Montana 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· 2nd of 51

$38,905

MT $38,905NM $12,303

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.