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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 October 2026.

How much does Fracture/Sprain/Strain/Dislocation Except Hip (without MCC) cost?

$10,965

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $8,128 to $15,488.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,965 · 10th to 90th $5,370 to $21,380
$5K$10K$20Kfacility $10,965

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
$8,317.64
Median
$15,848.93
Typical High
$20,892.96
Ambetter
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$9,549.93
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$14,125.38
Typical High
$28,183.83
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$20,892.96
Typical High
$20,892.96
Providence
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$15,488.17
Typical High
$30,199.52
United
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$11,220.18
Typical High
$24,547.09

Where Texas 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.

Texas· 39th of 51

$10,965

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.