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

Ohio 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?

$19,498

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,791 to $25,119.

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 $19,498 · 10th to 90th $12,303 to $28,184
$10K$20Kfacility $19,498

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
$16,595.87
Median
$22,387.21
Typical High
$27,542.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$17,378.01
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$17,782.79
Typical High
$32,359.37
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$17,378.01
Typical High
$30,199.52
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$11,220.18
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$19,952.62
Typical High
$31,622.78

Where Ohio 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.

Ohio· 33rd of 51

$19,498

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.