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Pennsylvania rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $47,863 · 10th–90th $24,547–$67,6080%10%10th90th$47,863$2.0K$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
$26,302.68 / $47,863.01 / $69,183.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $57,543.99 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $43,651.58 / $61,659.50
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $61,659.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $47,863.01 / $60,255.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $44,668.36 / $79,432.82
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $45,708.82 / $67,608.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $24,547.09 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $37,153.52 / $67,608.30