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

Washington 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?

$19,953

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $15,849 to $23,988.

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 $19,953 · 10th to 90th $12,023 to $30,200
$5.0K$10.0K$20.0K$50.0Kfacility $19,953

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
$15,135.61
Median
$22,908.68
Typical High
$37,153.52
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$18,197.01
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,498.45
Typical High
$29,512.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$12,022.64
Typical High
$15,135.61
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$25,703.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$18,197.01
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$17,782.79
Typical High
$25,703.96

Where Washington sits

The same service costs 3.1 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $19,953 · 10th of 51
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.