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New Jersey rates for MS-DRG 522

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

Facilitymedian $51,286 · 10th–90th $28,840–$67,6080%10%20%10th90th$51,286$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
$29,512.09 / $51,286.14 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $51,286.14 / $67,608.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $50,118.72 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $20,892.96 / $58,884.37