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Texas rates for MS-DRG 522

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

Facilitymedian $30,200 · 10th–90th $15,488–$57,5440%5%10%10th90th$30,200$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
$22,387.21 / $40,738.03 / $54,954.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $23,442.29 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $35,481.34 / $67,608.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $93,325.43 / $93,325.43
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $30,199.52 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $29,512.09 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $23,442.29 / $53,703.18