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Hip Replacement for Hip Fracture (with MCC)

Pennsylvania rates for MS-DRG 521

Hip Replacement with Principal Diagnosis of Hip Fracture with MCC

Rates data updated July 2026.

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

$43,652

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $29,512 to $56,234.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $23,988 to $67,608
$10K$20K$50Kfacility $43,652

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$43,651.58
Typical High
$72,443.60
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$60,255.96
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$45,708.82
Typical High
$64,565.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$61,659.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$46,773.51
Typical High
$58,884.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$54,954.09
Typical High
$112,201.85
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$42,657.95
Typical High
$67,608.30
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$25,703.96
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$38,018.94
Typical High
$67,608.30

Where Pennsylvania sits

The same service costs 3.5 times more in New York than in Michigan. 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.

Pennsylvania· 27th of 51

$43,652

NY $74,131MI $21,380

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.