go back

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

Illinois 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?

$10,965

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $9,120 to $13,183.

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 $10,965 · 10th to 90th $219 to $16,218
$100$500$2K$10Kfacility $10,965

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
$9,332.54
Median
$12,302.69
Typical High
$16,218.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,964.78
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$19,054.61
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$11,748.98
Typical High
$17,378.01

Where Illinois 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.

Illinois· 42nd of 51

$10,965

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.