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

New Mexico 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?

$7,244

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $4,677 to $11,482.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,715 to $15,488
$5.0K$10.0K$20.0Kfacility $7,244

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
$4,466.84
Median
$7,413.10
Typical High
$20,892.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$6,760.83
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$14,454.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,232.93
Typical High
$13,182.57

Where New Mexico sits

The same service costs 3.1 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $7,244 · 51st of 51
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.