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

Texas 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?

$9,120

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $9,120 for this service. Most negotiated rates run $6,457 to $12,303.

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 $9,120 · 10th to 90th $4,365 to $16,982
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $9,120

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
$6,918.31
Median
$10,471.29
Typical High
$19,498.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,244.36
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$20,417.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$25,703.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$9,332.54
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$18,197.01

Where Texas 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.

Texas $9,120 · 35th 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.