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Washington rates for MS-DRG 521

Hip replacement w principal diagnosis of hip fracture w MCC

Facilitymedian $70,795 · 10th–90th $46,774–$120,2260%20%10th90th$70,795$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
$47,863.01 / $72,443.60 / $154,881.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $54,954.09 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $61,659.50 / $93,325.43
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $50,118.72 / $51,286.14
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $56,234.13 / $83,176.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $58,884.37 / $77,624.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $56,234.13 / $81,283.05