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Washington rates for MS-DRG 538

Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC

Facilitymedian $17,378 · 10th–90th $10,471–$29,5120%10%20%10th90th$17,378$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $18,197.01 / $38,904.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $12,589.25 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,488.17 / $23,442.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $11,748.98 / $14,125.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,589.25 / $19,498.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,489.63 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $14,454.40 / $20,892.96