go back

California rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $45,709 · 10th–90th $16,982–$104,7130%20%10th90th$45,709$100.0$500.0$2.0K$10.0K$50.0K$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
$26,302.68 / $43,651.58 / $93,325.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $45,708.82 / $104,712.85
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $45,708.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $50,118.72 / $102,329.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $102,329.30 / $102,329.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $54,954.09 / $102,329.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $38,018.94 / $89,125.09