▸ Procedure · inpatient · MS-DRG 533
Fractures of femur w/o MCC
What US hospitals charge for fractures of femur w/o mcc — negotiated rates by payer + state-by-state pricing.
Hospitals
1,318
Rate rows
27,654
Neg. median
$15,204
Neg. min
$1.57
Neg. max
$327,948
Cash median
$14,482
Across 1,318 US hospitals publishing MRFs, the negotiated rate for Fractures of femur w/o MCC ranges from $1.57 to $327,948, with a median of $15,204. Half of all rates fall between $11,572 and $23,335. Cash-pay patients typically pay $14,482; hospital list (gross) prices median $31,402.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 889 | 2617 | $16,666 |
| Blue Cross Blue Shield | 843 | 3681 | $18,736 |
| Aetna | 824 | 1884 | $15,191 |
| Humana | 686 | 966 | $13,214 |
| Cigna | 653 | 1448 | $17,618 |
| WellCare | 341 | 406 | $13,292 |
| Molina | 323 | 448 | $14,433 |
| Ambetter | 214 | 238 | $19,019 |
| Medicare | 202 | 706 | $12,520 |
| Anthem BCBS | 133 | 403 | $19,500 |
| devoted health | 116 | 127 | $12,848 |
| Multiplan | 108 | 108 | $90 |
| CareSource | 100 | 117 | $17,089 |
| First Health | 96 | 109 | $85 |
| Kaiser Permanente | 95 | 136 | $16,357 |
| amerihealth | 93 | 143 | $14,924 |
| amerigroup | 93 | 116 | $12,031 |
| Health Net | 83 | 211 | $24,781 |
| Oscar Health | 83 | 89 | $21,152 |
| upmc health plan | 79 | 155 | $15,391 |
| amerihealth caritas | 78 | 82 | $12,899 |
| TRICARE | 63 | 92 | $13,038 |
| medica | 58 | 262 | $17,080 |
| Medicare Advantage | 54 | 82 | $13,772 |
| pa health & wellness | 53 | 55 | $13,933 |
| medical mutual of ohio | 51 | 115 | $19,363 |
| clover health | 51 | 51 | $15,666 |
| the health plan | 49 | 66 | $14,164 |
| alliance | 47 | 47 | $13,514 |
| phcs | 46 | 46 | $80.35 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 7 | $11,607 |
| AL | 24 | $12,698 |
| AR | 5 | $10,086 |
| AZ | 15 | $13,626 |
| CA | 62 | $17,834 |
| CO | 2 | $25,179 |
| DE | 2 | $14,023 |
| FL | 4 | $14,807 |
| GA | 13 | $17,306 |
| HI | 12 | $11,706 |
| IA | 21 | $12,284 |
| IL | 54 | $13,944 |
| IN | 16 | $13,965 |
| KS | 11 | $10,731 |
| KY | 3 | $13,907 |
| LA | 6 | $10,705 |
| MA | 10 | $15,829 |
| MD | 2 | $14,821 |
| ME | 3 | $12,971 |
| MI | 20 | $12,050 |
| MN | 28 | $13,050 |
| MO | 11 | $80 |
| MS | 4 | $14,310 |
| NC | 27 | $12,649 |
| NE | 2 | $15,638 |
| NJ | 22 | $19,246 |
| NV | 11 | $15,975 |
| NY | 10 | $22,830 |
| OH | 34 | $14,650 |
| OK | 2 | $2,734.8 |
| PA | 55 | $16,409 |
| RI | 3 | $15,687 |
| SC | 18 | $12,163 |
| TN | 20 | $11,915 |
| TX | 67 | $14,864 |
| VA | 7 | $24,147 |
| VT | 5 | $17,256 |
| WA | 11 | $17,069 |
| WI | 36 | $28,052 |
| WV | 8 | — |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| Uh Regional Hospitals | RICHMOND HEIGHTS | OH | $50.67 |
| Uh Geauga Medical Center | CHARDON | OH | $50.67 |
| University Hospitals Regional Hospitals - Geauga Medical Center | — | — | $50.67 |
| Spartanburg Hospital for Restorative Care | — | — | $57.1 |
| Osf Saint Clare Medical Center | PRINCETON | IL | $64.7 |
| OSF Saint Clare Medical Center | — | — | $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 |
| St Louis Childrens Hospital | ST. LOUIS | MO | $75.25 |
| St. Louis Childrens Hospital | — | — | $75.25 |
| AULTMAN ORRVILLE HOSPITAL | ORRVILLE | OH | $75.45 |
| Novant Health Mint Hill Medical Center | CHARLOTTE | NC | $76.5 |
| Novant Health Presbyterian Medical Center | — | — | $76.5 |
| NOVANT HEALTH BALLANTYNE MEDICAL CTR | CHARLOTTE | NC | $76.5 |
| Novant Health Matthews Medical Center | MATTHEWS | NC | $76.5 |
| Novant Health Matthews Medical Center | — | — | $76.5 |
| Novant Health Huntersville Medical Center | HUNTERSVILLE | NC | $76.5 |
| Novant Health Presbyterian Medical Center | CHARLOTTE | NC | $76.5 |
| Novant Health Charlotte Orthopedic Hospital | — | — | $76.5 |