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Hip and Femur Procedures Except Major Joint (with MCC)

New York rates for MS-DRG 480

Hip and Femur Procedures Except Major Joint with MCC

Rates data updated July 2026.

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

$75,858

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $50,119 to $95,499.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $75,858 · 10th to 90th $32,359 to $114,815
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $75,858

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$61,659.50
Typical High
$114,815.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$95,499.26
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$81,283.05
Typical High
$104,712.85
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$72,443.60
Typical High
$147,910.84
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$60,255.96
Typical High
$100,000.00

Where New York sits

The same service costs 4.0 times more in California than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $75,858 · 2nd of 51
CA $85,114MI $21,380

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.