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

New Jersey rates for MS-DRG 563

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

Rates data updated July 2026.

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

$19,498

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $15,136 to $24,547.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $11,220 to $28,840
$10K$20K$50Kfacility $19,498

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$21,877.62
Typical High
$28,840.32
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$15,488.17
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$24,547.09

Where New Jersey sits

The same service costs 3.1 times more in California than in New Mexico. 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.

New Jersey· 11th of 51

$19,498

CA $22,387NM $7,244

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.