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Fractures of Hip and Pelvis with Major Complications

Ohio 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?

$17,783

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $13,490 to $22,387.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,783 · 10th to 90th $11,220 to $25,119
$10K$20Kfacility $17,783

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
$15,135.61
Median
$20,417.38
Typical High
$25,118.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,848.93
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,218.10
Typical High
$28,840.32
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,488.17
Typical High
$26,915.35
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,000.00
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$18,197.01
Typical High
$28,840.32

Where Ohio 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.

Ohio· 33rd of 51

$17,783

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.