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

Texas rates for MS-DRG 563

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

Rates data updated July 2026.

Facilitymedian $11,220 · 10th–90th $5,248$20,8930%10%10th90th$11,220$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
$8,511.38
Median
$12,882.50
Typical High
$23,988.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,709.64
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$25,118.86
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$11,220.18
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$22,908.68