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Fractures of Hip and Pelvis without Major Complications

Illinois rates for MS-DRG 536

Fractures of Hip and Pelvis without MCC

Rates data updated July 2026.

How much does Fractures of Hip and Pelvis without Major Complications cost?

$9,333

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $9,333 for this service. Most negotiated rates run $7,586 to $11,220.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,333 · 10th to 90th $186 to $14,125
$100$500$2K$10Kfacility $9,333

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
$7,943.28
Median
$10,471.29
Typical High
$13,489.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$9,332.54
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$15,848.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$10,000.00
Typical High
$14,791.08

Where Illinois sits

The same service costs 3.2 times more in Michigan 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.

Illinois· 41st of 51

$9,333

MI $20,893NM $6,457

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.