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

Washington 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?

$15,849

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $12,303 to $19,498.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,849 · 10th to 90th $9,550 to $23,988
$5.0K$10.0K$20.0Kfacility $15,849

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
$12,022.64
Median
$18,197.01
Typical High
$30,199.52
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$14,125.38
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,488.17
Typical High
$23,442.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$11,748.98
Typical High
$14,125.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$19,498.45
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$14,454.40
Typical High
$20,892.96

Where Washington 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.

Washington $15,849 · 10th 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.