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Hip Replacement for Hip Fracture (with MCC)

New York rates for MS-DRG 521

Hip Replacement with Principal Diagnosis of Hip Fracture with MCC

Rates data updated October 2026.

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

$74,131

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $74,131 for this service. Most negotiated rates run $52,481 to $93,325.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $74,131 · 10th to 90th $35,481 to $112,202
$5K$10K$20K$50K$100K$200Kfacility $74,131

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$58,884.37
Typical High
$112,201.85
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$85,113.80
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$72,443.60
Typical High
$104,712.85
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$77,624.71
Typical High
$141,253.75
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$57,543.99
Typical High
$97,723.72

Where New York sits

The same service costs 281.8 times more in Alaska than in Hawaii. 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.

New York· 3rd of 51

$74,131

AK $77,625HI $275

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.