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Fractures of Hip and Pelvis with Major Complications

Idaho 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?

$19,055

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $14,125 to $25,119.

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 $19,055 · 10th to 90th $11,220 to $29,512
$10K$20Kfacility $19,055

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
$11,220.18
Median
$11,220.18
Typical High
$19,952.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$18,197.01
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$33,884.42
Typical High
$42,657.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$22,908.68
Typical High
$26,302.68
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$18,620.87
Typical High
$28,183.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$17,378.01
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$16,595.87
Typical High
$23,988.33

Where Idaho 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.

Idaho· 29th of 51

$19,055

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.