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Hip and Femur Procedures Except Major Joint (with CC)

West Virginia rates for MS-DRG 481

Hip and Femur Procedures Except Major Joint with CC

Rates data updated July 2026.

How much does Hip and Femur Procedures Except Major Joint (with CC) cost?

$22,387

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $21,878 to $30,903.

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 $22,387 · 10th to 90th $19,498 to $61,660
$5K$10K$20K$50K$100Kfacility $22,387

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. 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
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$28,840.32
Typical High
$39,810.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$61,659.50
Typical High
$147,910.84
United
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$22,387.21
Typical High
$28,840.32

Where West Virginia sits

The same service costs 4.9 times more in California than in New Mexico. 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· 44th of 51

$22,387

CA $81,283NM $16,596

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.