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New York rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $72,444 · 10th–90th $28,184$114,8150%10%10th90th$72,444$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$22,908.68 / $63,095.73 / $114,815.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $93,325.43 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $83,176.38 / $112,201.85
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $74,131.02 / $181,970.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $61,659.50 / $100,000.00