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

New Jersey 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?

$16,596

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $12,303 to $19,953.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $9,120 to $23,442
$5.0K$10.0K$20.0K$50.0Kfacility $16,596

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
$10,964.78
Median
$17,782.79
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$17,378.01
Typical High
$22,908.68
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$13,182.57
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,332.54
Typical High
$21,379.62

Where New Jersey 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.

New Jersey $16,596 · 8th 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.