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Hip and Femur Procedures Except Major Joint (with MCC)

West Virginia 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?

$42,658

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $39,811 to $53,703.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $27,542 to $70,795
$5K$10K$20K$50Kfacility $42,658

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$42,657.95
Typical High
$54,954.09
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$75,857.76
Typical High
$87,096.36
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$40,738.03
Typical High
$50,118.72

Where West Virginia 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.

West Virginia· 29th of 51

$42,658

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.