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Hip Replacement for Hip Fracture (without MCC)

California rates for MS-DRG 522

Hip Replacement with Principal Diagnosis of Hip Fracture without MCC

Rates data updated July 2026.

How much does Hip Replacement for Hip Fracture (without MCC) cost?

$38,905

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $30,200 to $53,703.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $16,596 to $75,858
$200$1K$5K$20K$100Kfacility $38,905

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$40,738.03
Typical High
$70,794.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$38,904.51
Typical High
$75,857.76
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$36,307.81
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$38,018.94
Typical High
$74,131.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$93,325.43
Typical High
$93,325.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$41,686.94
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$30,902.95
Typical High
$72,443.60

Where California sits

The same service costs 4.3 times more in Montana than in New Mexico. 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.

California· 15th of 51

$38,905

MT $72,444NM $16,982

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.