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Hip and Femur Procedures Except Major Joint (with MCC)

Pennsylvania 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?

$43,652

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $31,623 to $56,234.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $23,988 to $66,069
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $43,652

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
$26,302.68
Median
$44,668.36
Typical High
$66,069.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$58,884.37
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$43,651.58
Typical High
$61,659.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$61,659.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$47,863.01
Typical High
$60,255.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$44,668.36
Typical High
$79,432.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$43,651.58
Typical High
$66,069.34
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$32,359.37
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$37,153.52
Typical High
$67,608.30

Where Pennsylvania 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.

Pennsylvania $43,652 · 28th 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.