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

Ohio 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?

$10,000

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $7,943 to $12,589.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $6,457 to $14,125
$5.0K$10.0K$20.0Kfacility $10,000

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
$8,317.64
Median
$11,220.18
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,912.51
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,471.29
Typical High
$16,218.10
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$9,549.93
Typical High
$15,135.61
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,623.41
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$16,218.10

Where Ohio 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.

Ohio $10,000 · 32nd 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.