go back

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.

Facilitymedian $13,183 · 10th–90th $7,586$19,0550%10%10th90th$13,183$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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