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

Pennsylvania 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?

$13,183

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $8,913 to $16,596.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $7,586 to $19,055
$5K$10K$20Kfacility $13,183

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
$8,128.31
Median
$13,489.63
Typical High
$18,620.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$15,848.93
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,454.40
Typical High
$22,908.68
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$19,054.61
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$15,135.61
Typical High
$19,498.45
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$26,302.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$13,182.57
Typical High
$19,054.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,511.38
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,481.54
Typical High
$20,892.96

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$13,183

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.