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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 October 2026.

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

$43,652

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $28,840 to $57,544.

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 $22,909 to $69,183
$5K$10K$20K$50K$100Kfacility $43,652

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
$26,302.68
Median
$47,863.01
Typical High
$72,443.60
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$61,659.50
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$47,863.01
Typical High
$70,794.58
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$61,659.50
Geisinger
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$39,810.72
Typical High
$60,255.96
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$54,954.09
Typical High
$85,113.80
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$47,863.01
Typical High
$72,443.60
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$26,302.68
Typical High
$44,668.36
United
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$42,657.95
Typical High
$63,095.73

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$43,652

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.