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Pennsylvania rates for MS-DRG 482

Hip And Femur Procedures Except Major Joint Without Cc/Mcc

Facilitymedian $26,915 · 10th–90th $13,490–$38,0190%10%10th90th$26,915$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
$14,791.08 / $26,915.35 / $38,904.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $30,199.52 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,703.96 / $39,810.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $34,673.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $26,915.35 / $33,113.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $28,840.32 / $39,810.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $25,703.96 / $37,153.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $13,182.57 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $21,379.62 / $38,018.94