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Hip/Pelvis/Thigh Sprain/Strain/Dislocation (without CC/MCC)

Massachusetts rates for MS-DRG 538

Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC

Rates data updated July 2026.

How much does Hip/Pelvis/Thigh Sprain/Strain/Dislocation (without CC/MCC) cost?

$11,220

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $11,220 for this service. Most negotiated rates run $7,244 to $15,136.

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 $11,220 · 10th to 90th $6,310 to $18,621
$100.0$500.0$2.0K$10.0Kfacility $11,220

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
$6,760.83
Median
$12,022.64
Typical High
$18,620.87
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,715.19
Typical High
$16,218.10
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$15,488.17
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$27,542.29
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,709.64
Typical High
$21,379.62

Where Massachusetts sits

The same service costs 3.6 times more in Michigan than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $11,220 · 27th of 51
MI $20,893NM $5,754

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.