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

Texas rates for MS-DRG 537

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

Rates data updated October 2026.

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

$12,023

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $12,023 for this service. Most negotiated rates run $8,913 to $17,378.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $6,026 to $23,442
$5K$10K$20K$50Kfacility $12,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$16,595.87
Typical High
$22,387.21
Ambetter
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$19,054.61
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$10,964.78
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$14,791.08
Typical High
$30,199.52
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$22,387.21
Typical High
$22,387.21
Providence
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$31,622.78
United
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$11,748.98
Typical High
$26,302.68

Where Texas sits

The same service costs 93.3 times more in Alaska than in Hawaii. 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.

Texas· 36th of 51

$12,023

AK $25,704HI $275

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.