▸ Procedure · surgery · MS-DRG 481

Hip & femur procedures except major joint w CC

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

Hospitals
1,452
Rate rows
30,784
Neg. median
$20,313
Neg. min
$2.09
Neg. max
$350,165
Cash median
$24,384

Across 1,452 US hospitals publishing MRFs, the negotiated rate for Hip & femur procedures except major joint w CC ranges from $2.09 to $350,165, with a median of $20,313. Half of all rates fall between $15,429 and $31,202. Cash-pay patients typically pay $24,384; hospital list (gross) prices median $64,838.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare9932898$22,616
Blue Cross Blue Shield9143991$25,273
Aetna8942066$20,041
Humana7641077$16,896
Cigna6931568$23,472
WellCare355426$18,706
Molina332463$18,918
Medicare250900$16,391
Ambetter215239$25,409
Anthem BCBS165495$23,123
Multiplan118119$90
devoted health116127$16,836
First Health105130$74.3
CareSource100117$21,805
Kaiser Permanente100141$21,470
amerigroup93116$16,353
amerihealth93143$21,207
Oscar Health8389$28,783
Health Net82227$31,181
TRICARE80110$20,457
upmc health plan80161$20,563
amerihealth caritas7882$20,523
Medicare Advantage61124$16,422
medica59263$22,531
pa health & wellness5355$18,539
the health plan5374$17,918
upmc work partners5254$10,293
medical mutual of ohio51115$26,347
clover health5151$21,179
alliance4747$22,601

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK8$57,076
AL31$15,988
AR6$13,475
AZ16$19,044
CA64$24,483
CO3$27,558
DE2$18,459
FL4$15,566
GA14$22,110
HI13$21,672
IA22$16,660
IL57$18,524
IN18$13,700
KS12$14,059
KY8$18,090
LA6$14,302
MA12$20,601
MD5$19,640
ME3$16,978
MI30$15,925
MN32$17,048
MO13$80
MS5$18,813
NC29$19,704
NE2$20,868
NH2$17,811
NJ22$25,340
NM2$15,815
NV10$21,229
NY10$31,545
OH37$19,226
OK2$2,734.8
PA62$21,923
RI3$20,778
SC18$16,171
SD2$19,351
TN20$15,584
TX67$19,608
VA10$46,069
VT5$23,406
WA12$22,645
WI43$37,882
WV10$19,041

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
Uh Geauga Medical CenterCHARDONOH$50.67
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$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
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO$75
Parkland Health Center——$75
Parkland Health CenterFARMINGTONMO$75
AULTMAN ORRVILLE HOSPITALORRVILLEOH$75.45
St Louis Childrens HospitalST. LOUISMO$75.5
St. Louis Childrens Hospital——$75.5
Novant Health Charlotte Orthopedic Hospital——$76.5
Novant Health Huntersville Medical Center——$76.5
Novant Health Matthews Medical Center——$76.5
Novant Health Matthews Medical CenterMATTHEWSNC$76.5
Novant Health Presbyterian Medical Center——$76.5
Novant Health Mint Hill Medical CenterCHARLOTTENC$76.5