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Texas rates for MS-DRG 562

Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC

Facilitymedian $18,621 · 10th–90th $8,710–$33,1130%10%10th90th$18,621$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $20,417.38 / $33,113.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $14,791.08 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $21,379.62 / $38,904.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $51,286.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $19,952.62 / $33,113.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $18,620.87 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $14,791.08 / $32,359.37