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Fracture/Sprain/Strain/Dislocation Except Hip (without MCC)

Massachusetts rates for MS-DRG 563

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC

Rates data updated October 2026.

How much does Fracture/Sprain/Strain/Dislocation Except Hip (without MCC) cost?

$12,589

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $7,413 to $16,218.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,589 · 10th to 90th $129 to $23,988
$200$500$1K$2K$5K$10K$20Kfacility $12,589

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
$6,760.83
Median
$14,791.08
Typical High
$19,054.61
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$12,589.25
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$19,952.62
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$141.25
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$35,481.34
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$12,589.25
Typical High
$35,481.34
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$12,589.25
Typical High
$30,199.52

Where Massachusetts sits

The same service costs 97.7 times more in Delaware 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.

Massachusetts· 33rd of 51

$12,589

DE $26,915HI $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.