go back

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

New York 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?

$21,878

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $15,488 to $27,542.

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 $21,878 · 10th to 90th $10,715 to $34,674
$5K$10K$20K$50Kfacility $21,878

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
$7,585.78
Median
$16,218.10
Typical High
$33,884.42
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$26,915.35
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$20,417.38
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$23,988.33
Typical High
$43,651.58
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
United
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$16,595.87
Typical High
$28,183.83

Where New York 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.

New York· 4th of 51

$21,878

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.