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

Pennsylvania 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?

$10,471

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10,471 for this service. Most negotiated rates run $7,244 to $13,490.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $6,166 to $15,849
$2.0K$5.0K$10.0K$20.0Kfacility $10,471

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
$6,606.93
Median
$10,964.78
Typical High
$15,848.93
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$13,182.57
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$18,620.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$15,488.17
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,589.25
Typical High
$15,848.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,715.19
Typical High
$15,848.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,079.46
Typical High
$11,481.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,332.54
Typical High
$16,982.44

Where Pennsylvania 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.

Pennsylvania $10,471 · 29th 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.