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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in PA

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Hospitals
61
Min
$21,410
Median
$26,004
Max
$52,497
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36196$3,932.98$38,903$136,29334.7×
upmc health plan3370$20,830$28,281$43,9432.1×
Aetna3359$20,800$26,263$85,6074.1×
UnitedHealthcare3154$20,946$26,387$68,1803.3×
Cigna2338$20,949$28,665$83,7464.0×
upmc work partners2324$9,223.57$10,293$187,92220.4×
pa health & wellness2323$2,315.52$23,825$29,74312.8×
amerihealth caritas1818$2,208.32$23,509$29,74313.5×
geisinger1618$20,949$37,768$84,3534.0×
keystone health plan612$19,951$41,335$66,0923.3×
Humana1111$19,951$23,724$32,1471.6×
health plan of upper ohio valley37$20,805$22,690$37,5971.8×
Medicare26$21,555$23,491$31,0921.4×
Medicare Advantage26$24,904$28,810$35,0551.4×
ibc26$42,402$58,502$96,3312.3×
naphcare45$37,214$48,221$48,7711.3×
Multiplan44$183,620$183,620$218,5141.2×
innovage44$23,724$31,941$32,7901.4×
keystone autism services44$31,922$33,187$42,3231.3×
Oscar Health33$51,781$51,781$51,7811.0×
gateway health plan33$21,165$34,719$34,7191.6×
perennial22$26,980$31,170$35,3591.3×
prime health services22$44,351$44,351$44,3511.0×
elder health22$38,577$38,577$38,5771.0×
provider partners health plan22$23,259$27,937$32,6161.4×
qualcare jcc12$58,507$83,766$109,0241.9×
senior life22$22,245$22,245$22,2451.0×
st agnes22$23,259$26,870$30,4821.3×
allwell pa health_wellness ma22$25,585$29,557$33,5301.3×
upmc commercial22$54,536$69,141$83,7461.5×
geisinger health plan22$96,213$96,213$96,2131.0×
health partners plans22$36,182$36,182$36,1821.0×
ibc employee benefit22$29,073$33,588$38,1031.3×
city of washington22$35,592$35,592$35,5921.0×
clover health22$34,076$34,076$34,0761.0×
jefferson health plan aca qhp exchange22$22,803$26,024$29,2451.3×
keystone first22$33,755$33,755$33,7551.0×
keystone first vip choice22$24,654$28,178$31,7011.3×
devoted health participation22$24,422$28,214$32,0061.3×
optum va ccn22$23,259$26,870$30,4821.3×
pennsylvania health and wellness22$35,362$35,362$35,3621.0×
point of comfort refugee resettlement22$23,259$26,870$30,4821.3×
wtc health program11$42,862$42,862$42,8621.0×
Ambetter11$31,984$31,984$31,9841.0×
Anthem BCBS11$13,487$13,487$13,4871.0×
bravo11$26,918$26,918$26,9181.0×
fidelis11$25,979$25,979$25,9791.0×
ibc main line health11$38,103$38,103$38,1031.0×
independent health11$26,304$26,304$26,3041.0×
inspira life11$30,482$30,482$30,4821.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA4$25,104$52,497$55,627
WellsboroWellsboroPA3$43,943$49,058$56,958
Muncy Valley HospitalMuncyPA5$2,208.32$46,822$63,638
Upmc LititzLititzPA9$26,187$42,323$180,515
Temple University HospitalPhiladelphiaPA18$32,147$38,577$121,478
Jeanes HospitalPhiladelphiaPA17$32,147$38,222$84,353
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$34,511$22,933$35,207$109,024
Memorial HospitalYorkPA10$20,479$34,731$175,890
Upmc HanoverHanoverPA11$19,752$33,327$175,890
Upmc ShadysidePittsburghPA8$10,293$32,672$218,514
Titusville Area HospitalTitusvillePA5$18,700$30,295$41,832
Upmc St MargaretPittsburghPA4$23,760$29,998$117,516
Upmc Mercy HospitalPittsburghPA7$10,293$29,071$76,571
Upmc MckeesportMckeesportPA6$10,293$28,455$62,975
Charles Cole Memorial HospitalCoudersportPA4$17,802$28,281$36,311
Upmc HamotEriePA12$9,495.41$27,926$80,570
Upmc CarlisleCarlislePA11$3,932.98$27,869$184,354
Curahealth Heritage ValleyBeaverPA7$34,735$21,165$19,409$26,051$38,514
Upmc Pinnacle HospitalsHarrisburgPA9$10,451$26,004$68,143
Community General Osteopathic Hosp.HarrisburgPA9$10,451$26,004$68,143
Upmc Childrens Hospital Of PghPittsburghPA9$9,674.01$25,884$43,679
Upmc Magee-Womens HospitalPittsburghPA9$9,674.01$25,884$43,679
The Childrens Home Of PittsburghPittsburghPA9$9,674.01$25,884$43,679
Altoona Regional Health SystemAltoonaPA9$9,674.01$25,884$43,679
Aria HealthPhiladelphiaPA22$26,309$21,555$25,585$96,213
The Washington HospitalWashingtonPA9$20,701$25,454$37,710
Whs - GreeneWaynesburgPA9$20,701$25,454$37,710
Divine Providence HospitalWilliamsportPA9$22,276$24,635$183,620
Williamsport Hospital & Medical CtrWilliamsportPA9$22,276$24,635$183,620
Lock Haven HospitalLock HavenPA9$22,276$24,635$183,620
Upmc East HospitalMonroevillePA8$10,293$23,887$119,003
Upmc Horizon HospitalGreenvillePA9$9,470.42$23,348$44,077
Upmc JamesonNew CastlePA10$21,178$23,093$187,922
Upmc Northwest HospitalSenecaPA8$3,704.00$23,024$44,239
Upmc PassavantPittsburghPA9$10,293$22,885$218,514
Upmc Bedford Memorial HospitalEverettPA8$9,223.57$22,638$45,772
Meadville Medical CenterMeadvillePA1$21,410$21,410$21,410
Lankenau Medical CenterWynnewoodPA0
Windber Hospital Inc.WindberPA0
Doylestown HospitalDoylestownPA0$75,155$75,155
Hospital Of The Univ Of PennaPhiladelphiaPA0
Riddle HospitalMediaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Milton S. Hershey Medical CenterHersheyPA0
Hampden Medical CenterEnolaPA0
St. Joseph Medical CenterReadingPA0
Clarion HospitalClarionPA0
Reading Hospital And Medical CenterReadingPA0
Uniontown HospitalUniontownPA0
Penn State Hershey Rehabilitation LlHummelstownPA0
Chestnut Hill HospitalPhiladelphiaPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Pottstown Memorial Medical CenterPottstownPA0
Holy Spirit HospitalCamp HillPA0
Wayne Memorial HospitalHonesdalePA0$52,126$36,488
Phoenixville HospitalPhoenixvillePA0
Bryn Mawr HospitalBryn MawrPA0
Paoli HospitalPaoliPA0
Armstrong County MemorialKittanningPA0
Butler Memorial HospitalButlerPA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.