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Texas rates for MS-DRG 480

Hip & femur procedures except major joint w MCC

Facilitymedian $39,811 · 10th–90th $18,197–$67,6080%10%10th90th$39,811$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
$28,183.83 / $41,686.94 / $67,608.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $30,902.95 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $46,773.51 / $93,325.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104,712.85 / $104,712.85 / $104,712.85
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $39,810.72 / $67,608.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $38,018.94 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $28,183.83 / $61,659.50