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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in PA

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Hospitals
62
Min
$15,105
Median
$18,835
Max
$37,037
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36196$2,801.08$29,417$97,00934.6×
upmc health plan3370$15,023$20,339$31,6042.1×
Aetna3361$13,000$18,888$60,3964.6×
UnitedHealthcare3153$14,777$19,144$49,0343.3×
Cigna2337$15,066$20,373$60,2294.0×
upmc work partners2324$9,223.57$10,293$157,55417.1×
pa health & wellness2323$2,315.52$17,269$21,5429.3×
geisinger1618$15,066$27,162$64,8974.3×
amerihealth caritas1818$2,208.32$17,056$21,5429.8×
keystone health plan612$14,349$27,487$44,4913.1×
Humana1111$14,349$17,062$23,3871.6×
Medicare27$15,290$16,728$22,3611.5×
health plan of upper ohio valley37$14,963$16,454$22,8391.5×
ibc27$25,514$33,965$66,6292.6×
Medicare Advantage26$17,911$20,720$25,2111.4×
naphcare45$26,764$35,076$35,0811.3×
Multiplan44$153,947$153,947$183,2031.2×
keystone autism services44$22,958$24,046$30,6591.3×
innovage44$17,062$23,108$23,8551.4×
gateway health plan33$15,193$25,258$25,2581.7×
Oscar Health33$37,240$37,240$37,2401.0×
prime health services22$32,265$32,265$32,2651.0×
point of comfort refugee resettlement22$16,728$19,325$21,9231.3×
clover health22$24,791$24,791$24,7911.0×
provider partners health plan22$16,728$20,092$23,4571.4×
qualcare jcc12$37,387$53,528$69,6681.9×
senior life22$16,131$16,131$16,1311.0×
st agnes22$16,728$19,325$21,9231.3×
devoted health participation22$17,564$20,291$23,0191.3×
elder health22$28,065$28,065$28,0651.0×
geisinger health plan22$61,817$61,817$61,8171.0×
health partners plans22$26,323$26,323$26,3231.0×
ibc employee benefit22$20,909$24,156$27,4031.3×
ibc main line health22$20,909$24,156$27,4031.3×
allwell pa health_wellness ma22$18,400$21,257$24,1151.3×
Ambetter22$21,921$22,462$23,0031.0×
jefferson health plan aca qhp exchange22$16,400$18,716$21,0331.3×
keystone first22$24,557$24,557$24,5571.0×
keystone first vip choice22$17,731$20,265$22,7991.3×
city of washington22$25,809$25,809$25,8091.0×
optum va ccn22$16,728$19,325$21,9231.3×
pennsylvania health and wellness22$25,726$25,726$25,7261.0×
perennial22$19,404$22,417$25,4301.3×
wtc health program11$31,182$31,182$31,1821.0×
Anthem BCBS11$9,699.63$9,699.63$9,699.631.0×
bravo11$19,612$19,612$19,6121.0×
fidelis11$18,768$18,768$18,7681.0×
independent health11$19,003$19,003$19,0031.0×
inspira life11$21,923$21,923$21,9231.0×
intergroup11$3,704.00$3,704.00$3,704.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
American Oncologic HospialPhiladelphiaPA4$18,055$37,037$38,535
WellsboroWellsboroPA3$31,604$34,853$39,954
Muncy Valley HospitalMuncyPA5$2,208.32$33,674$44,639
Upmc LititzLititzPA9$18,971$30,659$151,344
Temple University HospitalPhiladelphiaPA18$23,387$28,065$88,376
Jeanes HospitalPhiladelphiaPA17$23,387$27,806$64,897
Thomas Jefferson Univ. HospitalPhiladelphiaPA27$25,025$16,296$25,320$69,668
Memorial HospitalYorkPA10$14,847$24,979$147,466
Upmc HanoverHanoverPA11$14,205$23,968$147,466
Upmc ShadysidePittsburghPA8$10,293$23,574$183,203
Upmc St MargaretPittsburghPA4$17,166$21,574$82,432
Titusville Area HospitalTitusvillePA5$13,193$21,374$29,513
Upmc Mercy HospitalPittsburghPA7$10,293$21,181$50,202
Upmc MckeesportMckeesportPA6$10,293$20,788$44,174
Charles Cole Memorial HospitalCoudersportPA4$12,803$20,340$25,470
Upmc CarlisleCarlislePA11$2,801.08$20,181$154,563
Upmc HamotEriePA12$9,495.41$20,175$56,516
Aria HealthPhiladelphiaPA23$19,025$15,290$19,237$61,817
Upmc Pinnacle HospitalsHarrisburgPA9$10,451$18,835$47,212
Community General Osteopathic Hosp.HarrisburgPA9$10,451$18,835$47,212
The Childrens Home Of PittsburghPittsburghPA9$9,674.01$18,616$31,413
Altoona Regional Health SystemAltoonaPA9$9,674.01$18,616$31,413
Upmc Magee-Womens HospitalPittsburghPA9$9,674.01$18,616$31,413
Upmc Childrens Hospital Of PghPittsburghPA9$9,674.01$18,616$31,413
Curahealth Heritage ValleyBeaverPA7$30,732$15,193$13,000$18,475$29,417
Williamsport Hospital & Medical CtrWilliamsportPA9$16,146$17,856$153,947
Divine Providence HospitalWilliamsportPA9$16,146$17,856$153,947
Lock Haven HospitalLock HavenPA9$16,146$17,856$153,947
Whs - GreeneWaynesburgPA9$15,011$17,855$26,452
The Washington HospitalWashingtonPA9$15,011$17,855$26,452
Upmc East HospitalMonroevillePA8$10,293$17,278$83,475
Upmc Horizon HospitalGreenvillePA9$9,470.42$16,991$30,918
Upmc JamesonNew CastlePA10$15,378$16,688$157,554
Upmc Northwest HospitalSenecaPA8$3,704.00$16,676$31,032
Upmc Bedford Memorial HospitalEverettPA8$9,223.57$16,480$32,107
Upmc PassavantPittsburghPA9$10,293$16,459$183,203
Meadville Medical CenterMeadvillePA1$15,105$15,105$15,105
Penn State Hershey Rehabilitation LlHummelstownPA0
St Christophers Hospital For ChildrPhiladelphiaPA0
Holy Spirit HospitalCamp HillPA0
Clarion HospitalClarionPA0
St. Joseph Medical CenterReadingPA0
Hospital Of The Univ Of PennaPhiladelphiaPA0
Windber Hospital Inc.WindberPA0
Pottstown Memorial Medical CenterPottstownPA0
Wayne Memorial HospitalHonesdalePA0$58,080$40,656
Phoenixville HospitalPhoenixvillePA0
Bryn Mawr HospitalBryn MawrPA0
Paoli HospitalPaoliPA0
Armstrong County MemorialKittanningPA0
Butler Memorial HospitalButlerPA0
Reading Hospital And Medical CenterReadingPA0
Lankenau Medical CenterWynnewoodPA0
Doylestown HospitalDoylestownPA0$47,009$47,009
Riddle HospitalMediaPA0
Presbyterian Medical CenterPhiladelphiaPA0
Pennsylvania Hospital Of UphsPhiladelphiaPA0
Uniontown HospitalUniontownPA0
Milton S. Hershey Medical CenterHersheyPA0
Physicians Care Surgical HospitalRoyersfordPA0$4,153.00$11,244
Hampden Medical CenterEnolaPA0
Chestnut Hill HospitalPhiladelphiaPA0

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.