☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /MS-DRG
  4. /MS538
  5. /Case rate
MS-DRG MS538

SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

Reported by 7 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$8.0k

Average

$9.7k

Median

$8.0k

High

$16.0k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoSalt Lake City, UT$6.2k$8.3k$8.0k$9.0k$1.2k
2Catholic Health Initiatives ColoradoLehi, UT$6.2k$8.3k$8.0k$9.0k$1.2k
3Catholic Health Initiatives ColoradoFrisco, CO$16.0k$16.0k$16.0k$16.1k$46
4Catholic Health Initiatives ColoradoPueblo, CO$11.3k$11.9k$11.9k$12.5k$627
5Catholic Health Initiatives ColoradoLayton, UT$6.2k$8.5k$8.1k$9.0k$1.1k
6Catholic Health Initiatives ColoradoWest Jordan, UT$6.2k$8.3k$8.0k$9.0k$1.2k
7Catholic Health Initiatives ColoradoWest Valley City, UT$6.2k$8.3k$8.0k$9.0k$1.2k

Look up this code directly

Ask Claude or any MCP client for MS-DRG MS538 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC