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New York rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $72,444 · 10th–90th $27,542$114,8150%10%10th90th$72,444$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$22,908.68 / $60,255.96 / $112,201.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $91,201.08 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $81,283.05 / $112,201.85
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $72,443.60 / $177,827.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $27,542.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $60,255.96 / $97,723.72