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

North Carolina 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?

$12,882

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $12,882 for this service. Most negotiated rates run $9,550 to $17,378.

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 $12,882 · 10th to 90th $7,943 to $19,498
$2K$5K$10K$20Kfacility $12,882

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
$8,128.31
Median
$10,232.93
Typical High
$17,782.79
Ambetter
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$11,220.18
Typical High
$34,673.69
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$10,964.78
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$13,489.63
Typical High
$18,197.01
Medcost
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$8,317.64
Typical High
$10,964.78
United
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$15,488.17
Typical High
$19,952.62

Where North Carolina 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.

North Carolina· 32nd of 51

$12,882

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.