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Pennsylvania rates for MS-DRG 522

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

Facilitymedian $34,674 · 10th–90th $17,378$50,1190%10%10th90th$34,674$2.0K$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
$19,054.61 / $34,673.69 / $50,118.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $42,657.95 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $33,884.42 / $51,286.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $45,708.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $35,481.34 / $42,657.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $42,657.95 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $32,359.37 / $48,977.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $16,982.44 / $25,118.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $30,199.52 / $50,118.72