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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 October 2026.

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

$25,704

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $20,417 to $38,019.

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 $25,704 · 10th to 90th $8,511 to $51,286
$200$1K$5K$20Kfacility $25,704

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$30,902.95
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$23,988.33
Typical High
$51,286.14
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$25,118.86
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$51,286.14
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$33,884.42
Typical High
$60,255.96
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$25,118.86
Typical High
$54,954.09

Where California sits

The same service costs 141.3 times more in Alaska than in Hawaii. 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· 12th of 51

$25,704

AK $38,905HI $275

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.