go back

Fractures of Hip and Pelvis with Major Complications

Texas 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?

$16,218

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $11,482 to $21,878.

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 $16,218 · 10th to 90th $7,586 to $30,200
$5K$10K$20K$50Kfacility $16,218

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
$12,302.69
Median
$18,620.87
Typical High
$33,113.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$13,182.57
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$19,054.61
Typical High
$34,673.69
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
$11,481.54
Median
$16,218.10
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$32,359.37

Where Texas 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.

Texas· 36th of 51

$16,218

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.