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Hip Replacement for Hip Fracture (with MCC)

California rates for MS-DRG 521

Hip Replacement with Principal Diagnosis of Hip Fracture with MCC

Rates data updated July 2026.

How much does Hip Replacement for Hip Fracture (with MCC) cost?

$45,709

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $34,674 to $72,444.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $45,709 · 10th to 90th $16,982 to $104,713
$200$1K$5K$20K$100Kfacility $45,709

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$48,977.88
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$45,708.82
Typical High
$104,712.85
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$45,708.82
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$50,118.72
Typical High
$102,329.30
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$102,329.30
Median
$102,329.30
Typical High
$102,329.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$54,954.09
Typical High
$102,329.30
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$37,153.52
Typical High
$87,096.36

Where California sits

The same service costs 3.5 times more in New York than in Michigan. 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.

California· 24th of 51

$45,709

NY $74,131MI $21,380

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.