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Massachusetts rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $45,709 · 10th–90th $19,953–$75,8580%10%20%10th90th$45,709$500.0$2.0K$10.0K$50.0K

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
$21,877.62 / $45,708.82 / $75,857.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $41,686.94 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $42,657.95 / $64,565.42
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $63,095.73
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $41,686.94 / $112,201.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $41,686.94 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $33,884.42 / $87,096.36