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Hip Replacement for Hip Fracture (without MCC)

New York rates for MS-DRG 522

Hip Replacement with Principal Diagnosis of Hip Fracture without MCC

Rates data updated October 2026.

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

$54,954

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $38,905 to $69,183.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $26,303 to $81,283
$5K$10K$20K$50K$100Kfacility $54,954

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$42,657.95
Typical High
$83,176.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$63,095.73
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$53,703.18
Typical High
$75,857.76
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$56,234.13
Typical High
$104,712.85
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$20,417.38
Typical High
$20,892.96
United
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$42,657.95
Typical High
$72,443.60

Where New York sits

The same service costs 208.9 times more in Alaska than in Hawaii. 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.

New York· 3rd of 51

$54,954

AK $57,544HI $275

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.