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Pennsylvania rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $46,774 · 10th–90th $25,704$69,1830%10%10th90th$46,774$2.0K$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
$26,302.68 / $47,863.01 / $69,183.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $58,884.37 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $45,708.82 / $64,565.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $50,118.72 / $61,659.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $46,773.51 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $54,954.09 / $112,201.85
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $43,651.58 / $67,608.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $23,988.33 / $41,686.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $37,153.52 / $67,608.30