go back

New Jersey rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $69,183 · 10th–90th $37,154$93,3250%10%10th90th$69,183$5.0K$10.0K$20.0K$50.0K$100.0K

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
$40,738.03 / $70,794.58 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $70,794.58 / $93,325.43
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $63,095.73 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $81,283.05