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Nationwide rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $33,113 · 10th–90th $10,471–$81,2830%5%10%10th90th$33,113$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$27,542.29 / $48,977.88 / $85,113.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $56,234.13 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $21,877.62 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $37,153.52 / $75,857.76

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