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Hip and Femur Procedures Except Major Joint (with MCC)

Ohio 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?

$43,652

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $34,674 to $53,703.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $27,542 to $61,660
$20K$50Kfacility $43,652

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
$31,622.78
Median
$45,708.82
Typical High
$61,659.50
Ambetter
Setting
Facility
Modifier
None
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$33,884.42
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$40,738.03
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$48,977.88
Typical High
$61,659.50
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$50,118.72
Typical High
$61,659.50
SummaCare
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$36,307.81
United
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$48,977.88
Typical High
$66,069.34

Where Ohio 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.

Ohio· 26th of 51

$43,652

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.