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Hip Replacement for Hip Fracture (with MCC)

West Virginia 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?

$26,915

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $26,915 to $35,481.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $26,303 to $48,978
$50.0Kfacility $26,915

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$39,810.72
Typical High
$54,954.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$26,915.35
Typical High
$39,810.72

Where West Virginia 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.

West Virginia $26,915 · 46th 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.