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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$3,932.98 – $218,514

Negotiated median

$31,501

MS-DRG 480 Hip & femur procedures except major joint w MCC · Showing 200 of 806 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Upmc Carlisle	PA	[De-identified Min]	—	inpatient	min	$184,354
Williamsport Hospital & Medical Ctr	PA	[De-identified Min]	—	inpatient	min	$166,225
Upmc Jameson	PA	[De-identified Min]	—	inpatient	min	$157,993
Temple University Hospital	PA	[De-identified Min]	—	inpatient	min	$32,147
Upmc Shadyside	PA	[De-identified Min]	—	inpatient	min	$27,540
Upmc Mercy Hospital	PA	[De-identified Min]	—	inpatient	min	$26,918
Upmc Hamot	PA	[De-identified Min]	—	inpatient	min	$25,979
Upmc Mckeesport	PA	[De-identified Min]	—	inpatient	min	$25,688
Williamsport Hospital & Medical Ctr	PA	[De-identified Min]	—	inpatient	min	$22,276
Upmc Jameson	PA	[De-identified Min]	—	inpatient	min	$21,178
The Washington Hospital	PA	[De-identified Min]	—	inpatient	min	$20,701
Holy Spirit Hospital	PA	[De-identified Min]	—	inpatient	min	$20,663
Reading Hospital And Medical Center	PA	[De-identified Min]	—	inpatient	min	$18,805
Chestnut Hill Hospital	PA	[De-identified Min]	—	inpatient	min	$18,483
Uniontown Hospital	PA	[De-identified Min]	—	inpatient	min	$13,815
Upmc Mckeesport	PA	[De-identified Min]	—	inpatient	min	$10,293
Upmc Mercy Hospital	PA	[De-identified Min]	—	inpatient	min	$10,293
Upmc Shadyside	PA	[De-identified Min]	—	inpatient	min	$10,293
Upmc Carlisle	PA	[De-identified Min]	—	inpatient	min	$3,932.98
Upmc Shadyside	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$218,514
Upmc Jameson	PA	upmc work partners	Workers Comp	inpatient	negotiated	$187,922
Upmc Carlisle	PA	upmc work partners	Workers Comp	inpatient	negotiated	$184,354
Williamsport Hospital & Medical Ctr	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$183,620
Williamsport Hospital & Medical Ctr	PA	upmc work partners	Workers Comp	inpatient	negotiated	$166,225
Upmc Jameson	PA	upmc work partners	Workers Comp	inpatient	negotiated	$157,993
Upmc Shadyside	PA	Blue Cross Blue Shield	UPMC Emergent	inpatient	negotiated	$136,293
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$121,478
Upmc Shadyside	PA	Blue Cross Blue Shield	Commercial - Indemnity	inpatient	negotiated	$85,079
Temple University Hospital	PA	geisinger	Commercial	inpatient	negotiated	$84,353
Upmc Hamot	PA	Blue Cross Blue Shield	UPMC Emergent	inpatient	negotiated	$80,570
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	inpatient	negotiated	$76,571
Temple University Hospital	PA	Blue Cross Blue Shield	Workers' Comp	inpatient	negotiated	$72,254
Upmc Carlisle	PA	Blue Cross Blue Shield	Commercial	inpatient	negotiated	$71,691
Upmc Carlisle	PA	Cigna	Commercial	inpatient	negotiated	$68,439
Temple University Hospital	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$68,180
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care	inpatient	negotiated	$68,147
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Bluecare HMO/FPLIC PPO/Traditional Products	inpatient	negotiated	$66,180
Temple University Hospital	PA	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$65,937
Temple University Hospital	PA	Blue Cross Blue Shield	Managed Care	inpatient	negotiated	$65,937
Temple University Hospital	PA	Blue Cross Blue Shield	PPO	inpatient	negotiated	$65,937
Temple University Hospital	PA	Cigna	Commercial	inpatient	negotiated	$65,512
Upmc Carlisle	PA	Blue Cross Blue Shield	Community Blue PPO	inpatient	negotiated	$64,522
Temple University Hospital	PA	Aetna	Commercial	inpatient	negotiated	$63,825
Temple University Hospital	PA	Aetna	First Health	inpatient	negotiated	$63,825
Temple University Hospital	PA	Aetna	Workers' Comp	inpatient	negotiated	$63,825
Upmc Shadyside	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	inpatient	negotiated	$63,620
Temple University Hospital	PA	Blue Cross Blue Shield	HMO/PPO	inpatient	negotiated	$63,073
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Indemnity	inpatient	negotiated	$62,975
Upmc Carlisle	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$61,578
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care	inpatient	negotiated	$61,332
Temple University Hospital	PA	Blue Cross Blue Shield	Commercial	inpatient	negotiated	$60,284
Upmc Carlisle	PA	Blue Cross Blue Shield	CHIP	inpatient	negotiated	$60,040
Upmc Carlisle	PA	Blue Cross Blue Shield	Commercial	inpatient	negotiated	$60,040
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	inpatient	negotiated	$57,258
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Managed Care - Social Mission	inpatient	negotiated	$56,253
Upmc Carlisle	PA	keystone health plan	Commercial	inpatient	negotiated	$56,217
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care	inpatient	negotiated	$55,211
Temple University Hospital	PA	Oscar Health	Pennsylvania Health Plan	inpatient	negotiated	$51,781
Upmc Shadyside	PA	Blue Cross Blue Shield	Managed Care - Social Mission	inpatient	negotiated	$50,958
Upmc Hamot	PA	Blue Cross Blue Shield	Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission	inpatient	negotiated	$50,356
Williamsport Hospital & Medical Ctr	PA	geisinger	Commercial	inpatient	negotiated	$49,702
Temple University Hospital	PA	naphcare	Correctional Healthcare	inpatient	negotiated	$48,221
Upmc Mckeesport	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	inpatient	negotiated	$46,952
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	inpatient	negotiated	$45,862
Temple University Hospital	PA	prime health services	PPO	inpatient	negotiated	$44,351
Williamsport Hospital & Medical Ctr	PA	upmc health plan	Commercial	inpatient	negotiated	$43,943
Temple University Hospital	PA	wtc health program	Government	inpatient	negotiated	$42,862
Upmc Carlisle	PA	upmc health plan	Commercial	inpatient	negotiated	$41,437
Upmc Mckeesport	PA	Blue Cross Blue Shield	Managed Care - Social Mission	inpatient	negotiated	$41,163
Temple University Hospital	PA	elder health	PACE	inpatient	negotiated	$38,577
The Washington Hospital	PA	Blue Cross Blue Shield	Commercial - Indemnity	inpatient	negotiated	$37,710
The Washington Hospital	PA	Blue Cross Blue Shield	Managed Care	inpatient	negotiated	$37,710
Temple University Hospital	PA	health partners plans	Medicare Advantage	inpatient	negotiated	$36,182
The Washington Hospital	PA	Blue Cross Blue Shield	Community Blue PPO	inpatient	negotiated	$35,825
The Washington Hospital	PA	city of washington	Commercial	inpatient	negotiated	$35,592
Temple University Hospital	PA	geisinger	Medicare Advantage	inpatient	negotiated	$35,362
Temple University Hospital	PA	pennsylvania health and wellness	Medicare Advantage	inpatient	negotiated	$35,362
Upmc Shadyside	PA	upmc health plan	Commercial	inpatient	negotiated	$35,050
The Washington Hospital	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$34,892
Upmc Carlisle	PA	upmc health plan	CHIP	inpatient	negotiated	$34,731
Temple University Hospital	PA	Aetna	Medicare Advantage	inpatient	negotiated	$34,719
Temple University Hospital	PA	gateway health plan	Medicare Advantage	inpatient	negotiated	$34,719
Temple University Hospital	PA	upmc health plan	Medicare Advantage	inpatient	negotiated	$34,398
Temple University Hospital	PA	clover health	Medicare Advantage	inpatient	negotiated	$34,076
The Washington Hospital	PA	Blue Cross Blue Shield	Connect Blue EPO	inpatient	negotiated	$33,939
Temple University Hospital	PA	keystone first	Choice DSNP	inpatient	negotiated	$33,755
Temple University Hospital	PA	Cigna	Medicare DSNP/Medicare HMO/Medicare PPO	inpatient	negotiated	$33,433
Upmc Carlisle	PA	keystone autism services	ACAP	inpatient	negotiated	$33,276
Temple University Hospital	PA	Aetna	Coventry	inpatient	negotiated	$33,112
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$32,790
Temple University Hospital	PA	innovage	PACE	inpatient	negotiated	$32,790
The Washington Hospital	PA	Blue Cross Blue Shield	Managed Care - Social Mission	inpatient	negotiated	$32,431
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$32,147
Temple University Hospital	PA	Humana	Medicare Advantage	inpatient	negotiated	$32,147
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage HMO/Medicare Advantage PPO	inpatient	negotiated	$32,147
Temple University Hospital	PA	Blue Cross Blue Shield	Medicare Advantage Select 65	inpatient	negotiated	$32,147
Temple University Hospital	PA	UnitedHealthcare	VACCN	inpatient	negotiated	$32,147
Upmc Mercy Hospital	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	inpatient	negotiated	$31,763
Upmc Mercy Hospital	PA	upmc health plan	Commercial	inpatient	negotiated	$31,537
The Washington Hospital	PA	health plan of upper ohio valley	Commercial	inpatient	negotiated	$31,501
Upmc Mckeesport	PA	upmc health plan	Commercial	inpatient	negotiated	$31,465
Upmc Mckeesport	PA	upmc health plan	EPO Partners/EPO Select Plan/HMO	inpatient	negotiated	$30,805
Upmc Shadyside	PA	Aetna	Medicare	inpatient	negotiated	$30,294
Upmc Shadyside	PA	amerihealth caritas	Medicare	inpatient	negotiated	$29,743
Upmc Shadyside	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$29,743
Upmc Shadyside	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$29,743
Upmc Shadyside	PA	UnitedHealthcare	Medicare	inpatient	negotiated	$29,743
Upmc Jameson	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$29,653
Upmc Jameson	PA	occunet	Commercial	inpatient	negotiated	$29,649
Upmc Mercy Hospital	PA	Aetna	Medicare	inpatient	negotiated	$29,609
Upmc Mercy Hospital	PA	amerihealth caritas	Medicare	inpatient	negotiated	$29,071
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$29,071
Upmc Mercy Hospital	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$29,071
Upmc Jameson	PA	upmc health plan	Commercial	inpatient	negotiated	$29,008
Upmc Mckeesport	PA	Aetna	Medicare	inpatient	negotiated	$28,716
Upmc Hamot	PA	univera	Univera_Medicare_Hamot_2024	inpatient	negotiated	$28,577
The Washington Hospital	PA	Cigna	Commercial	inpatient	negotiated	$28,328
Upmc Mercy Hospital	PA	Aetna	Medicare	inpatient	negotiated	$28,264
Upmc Mckeesport	PA	amerihealth caritas	Medicare	inpatient	negotiated	$28,194
Upmc Mckeesport	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$28,194
Upmc Mckeesport	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$28,194
Upmc Hamot	PA	Cigna	Medicare	inpatient	negotiated	$28,057
Upmc Hamot	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$28,057
Upmc Hamot	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$28,055
Upmc Hamot	PA	UnitedHealthcare	Medicare	inpatient	negotiated	$27,797
Upmc Mercy Hospital	PA	upmc health plan	Managed Medicare	inpatient	negotiated	$27,545
Upmc Shadyside	PA	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$27,540
Upmc Mckeesport	PA	Aetna	Medicare	inpatient	negotiated	$27,411
Upmc Hamot	PA	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$27,278
Upmc Mercy Hospital	PA	bravo	Medicare	inpatient	negotiated	$26,918
Upmc Mercy Hospital	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	inpatient	negotiated	$26,918
Upmc Hamot	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$26,618
Upmc Hamot	PA	Aetna	Medicare	inpatient	negotiated	$26,498
Upmc Hamot	PA	independent health	Medicare Advantage	inpatient	negotiated	$26,304
The Washington Hospital	PA	Aetna	Commercial	inpatient	negotiated	$26,263
Upmc Mckeesport	PA	Blue Cross Blue Shield	Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	inpatient	negotiated	$26,106
Upmc Jameson	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	inpatient	negotiated	$26,070
Upmc Hamot	PA	fidelis	Medicare	inpatient	negotiated	$25,979
Upmc Mckeesport	PA	upmc health plan	Managed Medicare	inpatient	negotiated	$25,688
The Washington Hospital	PA	Blue Cross Blue Shield	My Access Blue PPO/My Direct Blue	inpatient	negotiated	$25,454
Upmc Jameson	PA	upmc health plan	EPO Partners/Partners/Select	inpatient	negotiated	$24,990
Williamsport Hospital & Medical Ctr	PA	upmc health plan	Managed Medicare	inpatient	negotiated	$24,635
The Washington Hospital	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$24,022
Williamsport Hospital & Medical Ctr	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$23,825
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$23,823
Williamsport Hospital & Medical Ctr	PA	UnitedHealthcare	Medicare	inpatient	negotiated	$23,604
Upmc Jameson	PA	Cigna	Commercial	inpatient	negotiated	$23,150
Upmc Jameson	PA	upmc health plan	Managed Medicare	inpatient	negotiated	$23,037
Upmc Jameson	PA	amerihealth caritas	Medicare	inpatient	negotiated	$22,872
Upmc Jameson	PA	Cigna	Medicare	inpatient	negotiated	$22,872
Upmc Jameson	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$22,872
Upmc Jameson	PA	Blue Cross Blue Shield	Medicare	inpatient	negotiated	$22,870
Williamsport Hospital & Medical Ctr	PA	amerihealth caritas	Medicare	inpatient	negotiated	$22,722
Williamsport Hospital & Medical Ctr	PA	Aetna	Medicare	inpatient	negotiated	$22,722
The Washington Hospital	PA	upmc health plan	EPO Select Plan/HMO	inpatient	negotiated	$22,690
The Washington Hospital	PA	health plan of upper ohio valley	Medicare	inpatient	negotiated	$22,690
The Washington Hospital	PA	Aetna	Medicare	inpatient	negotiated	$22,467
The Washington Hospital	PA	Humana	Medicare	inpatient	negotiated	$22,467
Upmc Carlisle	PA	pa health & wellness	Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare)	inpatient	negotiated	$22,461
The Washington Hospital	PA	upmc health plan	Managed Medicare	inpatient	negotiated	$22,394
Williamsport Hospital & Medical Ctr	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	inpatient	negotiated	$22,276
Upmc Carlisle	PA	UnitedHealthcare	Medicare	inpatient	negotiated	$22,253
The Washington Hospital	PA	senior life	All	inpatient	negotiated	$22,245
The Washington Hospital	PA	Aetna	Advantra Washington Prime	inpatient	negotiated	$22,245
Upmc Carlisle	PA	Cigna	Medicare	inpatient	negotiated	$21,837
Upmc Carlisle	PA	geisinger	Medicare	inpatient	negotiated	$21,837
Upmc Carlisle	PA	Aetna	Medicare	inpatient	negotiated	$21,692
The Washington Hospital	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage	inpatient	negotiated	$21,362
Upmc Jameson	PA	Humana	Medicare	inpatient	negotiated	$21,178
Upmc Jameson	PA	UnitedHealthcare	Medicare	inpatient	negotiated	$21,178
Upmc Jameson	PA	Aetna	Medicare	inpatient	negotiated	$21,178
Upmc Carlisle	PA	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$20,798
Upmc Carlisle	PA	keystone health plan	Medicare Advantage	inpatient	negotiated	$20,798
Upmc Carlisle	PA	Humana	Medicare	inpatient	negotiated	$20,798
The Washington Hospital	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage/Security Blue Medicare Advantage	inpatient	negotiated	$20,701
Upmc Carlisle	PA	Blue Cross Blue Shield	Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage	inpatient	negotiated	$20,590
Upmc Carlisle	PA	Blue Cross Blue Shield	Freedom Blue Medicare Advantage	inpatient	negotiated	$20,590
Upmc Mckeesport	PA	upmc work partners	Workers Comp	inpatient	negotiated	$10,293
Upmc Mercy Hospital	PA	upmc work partners	Workers Comp	inpatient	negotiated	$10,293
Upmc Shadyside	PA	upmc work partners	Workers Comp	inpatient	negotiated	$10,293
Upmc Carlisle	PA	Blue Cross Blue Shield	CHIP - Managed Care	inpatient	negotiated	$3,932.98
Chestnut Hill Hospital	PA	[De-identified Max]	—	inpatient	max	$220,473
Upmc Shadyside	PA	[De-identified Max]	—	inpatient	max	$218,514
Upmc Jameson	PA	[De-identified Max]	—	inpatient	max	$187,922
Reading Hospital And Medical Center	PA	[De-identified Max]	—	inpatient	max	$186,413
Upmc Carlisle	PA	[De-identified Max]	—	inpatient	max	$184,354
Williamsport Hospital & Medical Ctr	PA	[De-identified Max]	—	inpatient	max	$183,620
Upmc Shadyside	PA	[De-identified Max]	—	inpatient	max	$136,293
Temple University Hospital	PA	[De-identified Max]	—	inpatient	max	$121,478
Upmc Hamot	PA	[De-identified Max]	—	inpatient	max	$80,570
Holy Spirit Hospital	PA	[De-identified Max]	—	inpatient	max	$76,685
Upmc Mercy Hospital	PA	[De-identified Max]	—	inpatient	max	$76,571
Upmc Carlisle	PA	[De-identified Max]	—	inpatient	max	$71,691
Williamsport Hospital & Medical Ctr	PA	[De-identified Max]	—	inpatient	max	$66,180
Upmc Mckeesport	PA	[De-identified Max]	—	inpatient	max	$62,975
Uniontown Hospital	PA	[De-identified Max]	—	inpatient	max	$58,031
The Washington Hospital	PA	[De-identified Max]	—	inpatient	max	$37,710
Upmc Jameson	PA	[De-identified Max]	—	inpatient	max	$29,653
Upmc Mckeesport	PA	[De-identified Max]	—	inpatient	max	$10,293
Upmc Mercy Hospital	PA	[De-identified Max]	—	inpatient	max	$10,293

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).