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Musculoskeletal/Connective Tissue Diagnoses (with MCC)

New York 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?

$38,019

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $25,119 to $47,863.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $15,488 to $60,256
$5K$10K$20K$50K$100Kfacility $38,019

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
$10,964.78
Median
$28,840.32
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$45,708.82
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$34,673.69
Typical High
$52,480.75
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$40,738.03
Typical High
$75,857.76
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$25,118.86
Typical High
$46,773.51

Where New York 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.

New York· 3rd of 51

$38,019

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.