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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 July 2026.

Facilitymedian $33,884 · 10th–90th $13,804$54,9540%10%10th90th$33,884$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$27,542.29
Typical High
$46,773.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$46,773.51
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$33,884.42
Typical High
$48,977.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$35,481.34
Typical High
$72,443.60
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$23,988.33
Typical High
$45,708.82