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Texas rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $40,738 · 10th–90th $21,878–$67,6080%10%10th90th$40,738$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$30,199.52 / $54,954.09 / $67,608.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $32,359.37 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $47,863.01 / $93,325.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $102,329.30 / $102,329.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $40,738.03 / $67,608.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $38,904.51 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $28,183.83 / $57,543.99