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Fractures of Hip and Pelvis with Major Complications

West Virginia 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?

$15,849

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $13,490 to $17,783.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,849 · 10th to 90th $12,023 to $20,893
$5K$10K$20Kfacility $15,849

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$17,782.79
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$16,218.10
Typical High
$20,892.96

Where West Virginia 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.

West Virginia· 37th of 51

$15,849

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.