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Hip and Femur Procedures Except Major Joint (with MCC)

California rates for MS-DRG 480

Hip and Femur Procedures Except Major Joint with MCC

Rates data updated October 2026.

How much does Hip and Femur Procedures Except Major Joint (with MCC) cost?

$57,544

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $42,658 to $85,114.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $57,544 · 10th to 90th $21,878 to $102,329
$200$1K$5K$20K$100Kfacility $57,544

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
$30,199.52
Median
$61,659.50
Typical High
$107,151.93
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$63,095.73
Typical High
$97,723.72
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$54,954.09
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$64,565.42
Typical High
$104,712.85
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$74,131.02
Typical High
$117,489.76
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
United
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$50,118.72
Typical High
$104,712.85

Where California sits

The same service costs 288.4 times more in Alaska 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.

California· 14th of 51

$57,544

AK $79,433HI $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.