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Fractures of Hip and Pelvis with Major Complications

California rates for MS-DRG 535

Fractures of Hip and Pelvis with MCC

Rates data updated July 2026.

How much does Fractures of Hip and Pelvis with Major Complications cost?

$32,359

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $24,547 to $46,774.

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 $32,359 · 10th to 90th $17,378 to $53,703
$200$1K$5K$20Kfacility $32,359

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
$19,952.62
Median
$29,512.09
Typical High
$54,954.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$32,359.37
Typical High
$53,703.18
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,908.68
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$45,708.82
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
$45,708.82
Median
$45,708.82
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,183.83
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$22,387.21
Typical High
$50,118.72

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· 3rd of 51

$32,359

MT $33,113NM $10,233

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.