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

Texas 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?

$17,783

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $13,183 to $26,303.

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 $17,783 · 10th to 90th $8,913 to $34,674
$5K$10K$20K$50K$100Kfacility $17,783

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
$13,489.63
Median
$25,118.86
Typical High
$33,113.11
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$16,595.87
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$44,668.36
Moda Health
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$33,113.11
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$24,547.09
Typical High
$47,863.01
United
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$17,378.01
Typical High
$38,904.51

Where Texas 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.

Texas· 36th of 51

$17,783

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.