Hip & femur procedures except major joint w MCC in Pennsylvania
What Pennsylvania hospitals charge for hip & femur procedures except major joint w mcc (MS-DRG 480). Rates sourced from federally-mandated machine-readable files.
Hospitals
61
Rate rows
806
Neg. median
$30,388
Min
$2,208.32
Max
$218,514
Cash median
$34,511
Across 61 Pennsylvania hospitals, the negotiated rate for Hip & femur procedures except major joint w MCC ranges from $2,208.32 to $218,514, with a median of $30,388. The interquartile range is $23,724 to $43,943. Cash-pay patients typically pay $34,511; gross charges median $52,126.
By payer in Pennsylvania
Top 30 payers for Hip & femur procedures except major joint w MCC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 36 | 196 | $38,903 |
| upmc health plan | 33 | 70 | $28,281 |
| Aetna | 33 | 59 | $26,263 |
| UnitedHealthcare | 31 | 54 | $26,387 |
| pa health & wellness | 23 | 23 | $23,825 |
| upmc work partners | 23 | 24 | $10,293 |
| Cigna | 23 | 38 | $28,665 |
| amerihealth caritas | 18 | 18 | $23,509 |
| geisinger | 16 | 18 | $37,768 |
| Humana | 11 | 11 | $23,724 |
| keystone health plan | 6 | 12 | $41,335 |
| naphcare | 4 | 5 | $48,221 |
| keystone autism services | 4 | 4 | $33,187 |
| innovage | 4 | 4 | $31,941 |
| Multiplan | 4 | 4 | $183,620 |
| gateway health plan | 3 | 3 | $34,719 |
| health plan of upper ohio valley | 3 | 7 | $22,690 |
| Oscar Health | 3 | 3 | $51,781 |
| Medicare | 2 | 6 | $23,491 |
| Medicare Advantage | 2 | 6 | $28,810 |
| devoted health participation | 2 | 2 | $28,214 |
| optum va ccn | 2 | 2 | $26,870 |
| perennial | 2 | 2 | $31,170 |
| pennsylvania health and wellness | 2 | 2 | $35,362 |
| point of comfort refugee resettlement | 2 | 2 | $26,870 |
| prime health services | 2 | 2 | $44,351 |
| elder health | 2 | 2 | $38,577 |
| provider partners health plan | 2 | 2 | $27,937 |
| allwell pa health_wellness ma | 2 | 2 | $29,557 |
| senior life | 2 | 2 | $22,245 |
Hospital comparison — Hip & femur procedures except major joint w MCC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.