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

Virginia 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?

$23,442

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $17,783 to $28,840.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $14,125 to $34,674
$5K$10K$20K$50Kfacility $23,442

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
$15,848.93
Median
$26,915.35
Typical High
$29,512.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$25,703.96
Typical High
$34,673.69
CareFirst
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$21,379.62
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$21,379.62
Typical High
$33,884.42
Medcost
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
Sentara
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$21,379.62
Typical High
$29,512.09
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$27,542.29
Typical High
$42,657.95

Where Virginia sits

The same service costs 288.4 times more in Montana 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.

Virginia· 18th of 51

$23,442

MT $79,433HI $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.