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Fracture/Sprain/Strain/Dislocation Except Hip (with MCC)

California rates for MS-DRG 562

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC

Rates data updated July 2026.

How much does Fracture/Sprain/Strain/Dislocation Except Hip (with MCC) cost?

$35,481

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $26,915 to $51,286.

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 $35,481 · 10th to 90th $19,498 to $60,256
$200$1K$5K$20Kfacility $35,481

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
$22,387.21
Median
$33,113.11
Typical High
$60,255.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$35,481.34
Typical High
$60,255.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$23,442.29
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$51,286.14
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$30,902.95
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$25,118.86
Typical High
$54,954.09

Where California sits

The same service costs 3.2 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 4th of 51

$35,481

MT $36,308NM $11,482

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.