▸ Procedure · surgery · MS-DRG 480

Hip & femur procedures except major joint w MCC

What US hospitals charge for hip & femur procedures except major joint w mcc — negotiated rates by payer + state-by-state pricing.

Hospitals
1,433
Rate rows
30,321
Neg. median
$27,985
Neg. min
$1.16
Neg. max
$350,165
Cash median
$34,327

Across 1,433 US hospitals publishing MRFs, the negotiated rate for Hip & femur procedures except major joint w MCC ranges from $1.16 to $350,165, with a median of $27,985. Half of all rates fall between $20,896 and $42,412. Cash-pay patients typically pay $34,327; hospital list (gross) prices median $80,051.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare9732850$30,777
Blue Cross Blue Shield8993945$34,698
Aetna8782033$27,323
Humana7501059$23,274
Cigna6931558$32,035
WellCare354423$25,792
Molina333458$26,223
Medicare244887$22,612
Ambetter212236$35,267
Anthem BCBS154464$31,816
Multiplan118119$90
devoted health116127$23,314
First Health105130$74.3
Kaiser Permanente102145$29,957
CareSource100117$29,126
amerihealth93143$36,285
amerigroup93116$23,173
Health Net84215$42,638
Oscar Health8389$40,798
upmc health plan80161$28,592
TRICARE80110$28,281
amerihealth caritas7882$28,137
Medicare Advantage59120$22,612
medica59263$32,995
the health plan5374$24,777
pa health & wellness5355$25,661
upmc work partners5254$10,293
clover health5151$29,442
medical mutual of ohio51115$37,345
Medicaid51311$9,376.81

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK8$92,309
AL31$21,842
AR6$18,736
AZ15$26,278
CA64$33,789
CO3$30,570
DC2$304.46
DE2$25,345
FL4$17,535
GA14$30,137
HI13$30,133
IA22$23,467
IL56$25,251
IN17$13,965
KS12$19,549
KY7$25,153
LA6$19,887
MA12$28,615
MD5$27,121
ME3$23,197
MI28$21,513
MN32$23,592
MO13$80
MS5$25,696
NC29$27,580
NE2$28,986
NH2$23,617
NJ22$35,021
NM2$16,074
NV10$29,841
NY10$43,900
OH36$27,003
OK2$2,734.8
PA61$30,388
RI3$28,682
SC18$21,986
SD2$28,426
TN20$19,036
TX67$27,447
VA9$72,819
VT5$33,091
WA12$31,152
WI41$54,103
WV10$26,401

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$50.67
Uh Geauga Medical CenterCHARDONOH$50.67
Spartanburg Hospital for Restorative Care——$57.1
Osf Saint Clare Medical CenterPRINCETONIL$64.7
OSF Saint Clare Medical Center——$64.7
IOWA LUTHERAN HOSPITALDES MOINESIA$71.25
Osf Holy Family Medical CenterMONMOUTHIL$73.4
Parkland Health CenterFARMINGTONMO$75
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO$75
Parkland Health Center——$75
AULTMAN ORRVILLE HOSPITALORRVILLEOH$75.45
St Louis Childrens HospitalST. LOUISMO$75.5
St. Louis Childrens Hospital——$75.5
Novant Health Matthews Medical CenterMATTHEWSNC$76.5
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC$76.5
Novant Health Huntersville Medical Center——$76.5
Novant Health Matthews Medical Center——$76.5
Novant Health Mint Hill Medical Center——$76.5
Novant Health Huntersville Medical CenterHUNTERSVILLENC$76.5