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Musculoskeletal/Connective Tissue Diagnoses (with MCC)

Texas 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?

$19,498

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,454 to $28,184.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $9,772 to $38,019
$10K$20K$50K$100Kfacility $19,498

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
$14,454.40
Median
$26,915.35
Typical High
$36,307.81
Ambetter
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$23,988.33
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$18,197.01
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$48,977.88
Moda Health
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$36,307.81
Typical High
$36,307.81
Providence
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$26,302.68
Typical High
$51,286.14
United
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$19,054.61
Typical High
$42,657.95

Where Texas 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.

Texas· 37th of 51

$19,498

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.