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California rates for MS-DRG 522

Hip replacement w principal diagnosis of hip fracture w/o MCC

Facilitymedian $38,905 · 10th–90th $16,982–$75,8580%20%10th90th$38,905$100.0$500.0$2.0K$10.0K$50.0K

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
$19,952.62 / $39,810.72 / $67,608.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $38,904.51 / $75,857.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $38,904.51 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $38,018.94 / $74,131.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $93,325.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $41,686.94 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $33,113.11 / $75,857.76