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Pennsylvania rates for MS-DRG 481

Hip And Femur Procedures Except Major Joint With Cc

Facilitymedian $33,884 · 10th–90th $16,982–$47,8630%10%10th90th$33,884$2.0K$5.0K$10.0K$20.0K$50.0K

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
$19,054.61 / $34,673.69 / $48,977.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $38,018.94 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $33,113.11 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $34,673.69 / $42,657.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $41,686.94 / $58,884.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $32,359.37 / $47,863.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $16,982.44 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $27,542.29 / $48,977.88