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

West 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?

$20,893

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $19,498 to $21,380.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,893 · 10th to 90th $13,490 to $26,915
$5K$10K$20Kfacility $20,893

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$13,489.63
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$20,892.96
Typical High
$26,915.35
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$19,498.45
Typical High
$24,547.09

Where West Virginia 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.

West Virginia· 28th of 51

$20,893

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.