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Texas rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc

Facilitymedian $11,482 · 10th–90th $5,248–$20,8930%10%10th90th$11,482$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $20,892.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,709.64 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,489.63 / $25,118.86
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $32,359.37
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $12,589.25 / $20,892.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $11,220.18 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,772.37 / $22,908.68