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

Washington 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?

$19,953

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $16,218 to $23,988.

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 $19,953 · 10th to 90th $12,589 to $30,200
$5K$10K$20Kfacility $19,953

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
$12,589.25
Median
$21,877.62
Typical High
$38,018.94
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$19,498.45
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$18,620.87
Typical High
$30,902.95
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$16,218.10
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$27,542.29
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$19,054.61
Typical High
$28,840.32
United
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$22,908.68
Typical High
$29,512.09

Where Washington 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.

Washington· 12th of 51

$19,953

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.