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New Jersey rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $69,183 · 10th–90th $39,811$93,3250%10%10th90th$69,183$5.0K$10.0K$20.0K$50.0K$100.0K

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
$39,810.72 / $69,183.10 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $69,183.10 / $91,201.08
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $72,443.60 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $21,379.62 / $79,432.82