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

New York 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?

$34,674

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $22,909 to $43,652.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $15,136 to $54,954
$5K$10K$20K$50K$100Kfacility $34,674

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
$10,964.78
Median
$26,302.68
Typical High
$53,703.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$41,686.94
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$32,359.37
Typical High
$48,977.88
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$38,018.94
Typical High
$70,794.58
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$23,442.29
Typical High
$44,668.36

Where New York 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.

New York· 3rd of 51

$34,674

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.