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Wisconsin rates for MS-DRG 522

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

Facilitymedian $38,019 · 10th–90th $21,380–$54,9540%10%10th90th$38,019$200.0$1.0K$5.0K$20.0K

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
$31,622.78 / $38,018.94 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $40,738.03 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $36,307.81 / $58,884.37
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $31,622.78 / $40,738.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $34,673.69 / $61,659.50
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $24,547.09 / $31,622.78
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $43,651.58 / $44,668.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $35,481.34 / $50,118.72