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New York rates for MS-DRG 522

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

Facilitymedian $52,481 · 10th–90th $20,417$83,1760%5%10%10th90th$52,481$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$16,982.44 / $44,668.36 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $67,608.30 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $60,255.96 / $75,857.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $53,703.18 / $131,825.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $20,417.38 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $44,668.36 / $72,443.60