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Hip Replacement for Hip Fracture (with MCC)

Vermont 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?

$40,738

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $37,154 to $79,433.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $33,113 to $81,283
$50.0K$100.0Kfacility $40,738

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$74,131.02
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$40,738.03
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$102,329.30

Where Vermont sits

The same service costs 3.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $40,738 · 31st of 51
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.