▸ Procedure · surgery · MS-DRG 482
Hip & femur procedures except major joint w/o CC/MCC
What US hospitals charge for hip & femur procedures except major joint w/o cc/mcc — negotiated rates by payer + state-by-state pricing.
Hospitals
1,437
Rate rows
30,458
Neg. median
$15,974
Neg. min
$1.63
Neg. max
$350,165
Cash median
$20,806
Across 1,437 US hospitals publishing MRFs, the negotiated rate for Hip & femur procedures except major joint w/o CC/MCC ranges from $1.63 to $350,165, with a median of $15,974. Half of all rates fall between $11,976 and $24,461. Cash-pay patients typically pay $20,806; hospital list (gross) prices median $49,647.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 974 | 2857 | $17,422 |
| Blue Cross Blue Shield | 904 | 3967 | $20,298 |
| Aetna | 873 | 2038 | $15,804 |
| Humana | 750 | 1056 | $13,564 |
| Cigna | 693 | 1568 | $18,300 |
| WellCare | 350 | 417 | $14,469 |
| Molina | 328 | 453 | $15,023 |
| Medicare | 243 | 887 | $13,042 |
| Ambetter | 214 | 238 | $19,787 |
| Anthem BCBS | 155 | 454 | $19,867 |
| Multiplan | 118 | 119 | $90 |
| devoted health | 116 | 127 | $13,327 |
| First Health | 105 | 130 | $74.3 |
| CareSource | 100 | 117 | $17,656 |
| Kaiser Permanente | 99 | 140 | $17,055 |
| amerigroup | 93 | 116 | $12,503 |
| amerihealth | 93 | 143 | $16,060 |
| Health Net | 86 | 233 | $24,688 |
| Oscar Health | 83 | 89 | $22,007 |
| upmc health plan | 80 | 158 | $15,838 |
| TRICARE | 80 | 110 | $15,471 |
| amerihealth caritas | 78 | 82 | $15,438 |
| Medicare Advantage | 61 | 124 | $12,788 |
| medica | 59 | 263 | $17,798 |
| the health plan | 53 | 74 | $14,087 |
| pa health & wellness | 53 | 55 | $14,496 |
| upmc work partners | 52 | 54 | $10,293 |
| medical mutual of ohio | 51 | 115 | $20,144 |
| clover health | 51 | 51 | $16,328 |
| alliance | 47 | 47 | $16,225 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 8 | $35,527 |
| AL | 31 | $12,745 |
| AR | 6 | $10,493 |
| AZ | 16 | $14,928 |
| CA | 64 | $19,255 |
| CO | 3 | $25,072 |
| DE | 2 | $14,556 |
| FL | 4 | $15,405 |
| GA | 14 | $18,234 |
| HI | 13 | $16,715 |
| IA | 21 | $12,795 |
| IL | 57 | $14,563 |
| IN | 18 | $13,700 |
| KS | 12 | $10,948 |
| KY | 6 | $14,087 |
| LA | 6 | $11,137 |
| MA | 12 | $16,132 |
| MD | 4 | $15,400 |
| ME | 3 | $13,452 |
| MI | 30 | $13,051 |
| MN | 31 | $13,602 |
| MO | 13 | $80 |
| MS | 5 | $14,912 |
| NC | 28 | $14,554 |
| NE | 2 | $16,267 |
| NH | 2 | $13,985 |
| NJ | 22 | $19,951 |
| NM | 2 | $10,655 |
| NV | 10 | $18,267 |
| NY | 10 | $24,571 |
| OH | 37 | $15,568 |
| OK | 2 | $2,734.8 |
| PA | 62 | $16,972 |
| RI | 3 | $16,299 |
| SC | 18 | $12,555 |
| SD | 2 | $15,311 |
| TN | 20 | $12,333 |
| TX | 67 | $15,464 |
| VA | 9 | $41,098 |
| VT | 5 | $17,943 |
| WA | 12 | $17,739 |
| WI | 41 | $29,183 |
| WV | 10 | $14,870 |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| University Hospitals Regional Hospitals - Geauga Medical Center | — | — | $50.67 |
| Uh Geauga Medical Center | CHARDON | OH | $50.67 |
| Uh Regional Hospitals | RICHMOND HEIGHTS | OH | $50.67 |
| Spartanburg Hospital for Restorative Care | — | — | $57.1 |
| OSF Saint Clare Medical Center | — | — | $64.7 |
| Osf Saint Clare Medical Center | PRINCETON | IL | $64.7 |
| IOWA LUTHERAN HOSPITAL | DES MOINES | IA | $71.25 |
| Osf Holy Family Medical Center | MONMOUTH | IL | $73.4 |
| MERCY CONTINUING CARE HOSPITAL | CHESTERFIELD | MO | $75 |
| Parkland Health Center | FARMINGTON | MO | $75 |
| Parkland Health Center | — | — | $75 |
| AULTMAN ORRVILLE HOSPITAL | ORRVILLE | OH | $75.45 |
| St Louis Childrens Hospital | ST. LOUIS | MO | $75.5 |
| St. Louis Childrens Hospital | — | — | $75.5 |
| Novant Health Huntersville Medical Center | HUNTERSVILLE | NC | $76.5 |
| Novant Health Mint Hill Medical Center | — | — | $76.5 |
| NOVANT HEALTH BALLANTYNE MEDICAL CTR | CHARLOTTE | NC | $76.5 |
| Novant Health Matthews Medical Center | — | — | $76.5 |
| Novant Health Presbyterian Medical Center | — | — | $76.5 |
| Novant Health Charlotte Orthopedic Hospital | — | — | $76.5 |