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Hip/Pelvis/Thigh Sprain/Strain/Dislocation (with CC/MCC)

California rates for MS-DRG 537

Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC

Rates data updated July 2026.

How much does Hip/Pelvis/Thigh Sprain/Strain/Dislocation (with CC/MCC) cost?

$23,988

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $18,197 to $34,674.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $12,882 to $39,811
$200$1K$5K$20Kfacility $23,988

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
$14,791.08
Median
$22,387.21
Typical High
$40,738.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$39,810.72
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,488.17
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,498.45
Typical High
$33,884.42
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$20,892.96
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$16,982.44
Typical High
$37,153.52

Where California sits

The same service costs 3.4 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.

California· 2nd of 51

$23,988

MT $25,704NM $7,586

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.