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

Pennsylvania rates for MS-DRG 537

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

Rates data updated July 2026.

Facilitymedian $14,454 · 10th–90th $8,511$20,8930%10%10th90th$14,454$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$15,848.93
Typical High
$20,892.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,488.17
Typical High
$24,547.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$20,417.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$14,454.40
Typical High
$19,952.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$28,840.32
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,454.40
Typical High
$20,892.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,471.29
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$12,589.25
Typical High
$22,387.21