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Oregon rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $67,608 · 10th–90th $40,738–$114,8150%20%10th90th$67,608$200.0$1.0K$5.0K$20.0K$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
$67,608.30 / $79,432.82 / $158,489.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $69,183.10 / $107,151.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $58,884.37 / $91,201.08
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $50,118.72 / $60,255.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $69,183.10 / $107,151.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $57,543.99 / $79,432.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $64,565.42 / $77,624.71