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

Maine 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?

$33,113

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $25,704 to $42,658.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33,113 · 10th to 90th $23,988 to $42,658
$10K$20Kfacility $33,113

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$33,113.11
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$42,657.95
Typical High
$42,657.95
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$35,481.34

Where Maine sits

The same service costs 288.4 times more in Montana 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.

Maine· 5th of 51

$33,113

MT $79,433HI $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.