Hip & femur procedures except major joint w CC in Pennsylvania
What Pennsylvania hospitals charge for hip & femur procedures except major joint w cc (MS-DRG 481). Rates sourced from federally-mandated machine-readable files.
Hospitals
62
Rate rows
814
Neg. median
$21,923
Min
$2,208.32
Max
$183,203
Cash median
$22,025
Across 62 Pennsylvania hospitals, the negotiated rate for Hip & femur procedures except major joint w CC ranges from $2,208.32 to $183,203, with a median of $21,923. The interquartile range is $17,119 to $31,604. Cash-pay patients typically pay $22,025; gross charges median $30,732.
By payer in Pennsylvania
Top 30 payers for Hip & femur procedures except major joint w CC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 36 | 196 | $29,417 |
| Aetna | 33 | 61 | $18,888 |
| upmc health plan | 33 | 70 | $20,339 |
| UnitedHealthcare | 31 | 53 | $19,144 |
| Cigna | 23 | 37 | $20,373 |
| upmc work partners | 23 | 24 | $10,293 |
| pa health & wellness | 23 | 23 | $17,269 |
| amerihealth caritas | 18 | 18 | $17,056 |
| geisinger | 16 | 18 | $27,162 |
| Humana | 11 | 11 | $17,062 |
| keystone health plan | 6 | 12 | $27,487 |
| innovage | 4 | 4 | $23,108 |
| keystone autism services | 4 | 4 | $24,046 |
| Multiplan | 4 | 4 | $153,947 |
| naphcare | 4 | 5 | $35,076 |
| Oscar Health | 3 | 3 | $37,240 |
| gateway health plan | 3 | 3 | $25,258 |
| health plan of upper ohio valley | 3 | 7 | $16,454 |
| Medicare | 2 | 7 | $16,728 |
| Medicare Advantage | 2 | 6 | $20,720 |
| city of washington | 2 | 2 | $25,809 |
| optum va ccn | 2 | 2 | $19,325 |
| pennsylvania health and wellness | 2 | 2 | $25,726 |
| point of comfort refugee resettlement | 2 | 2 | $19,325 |
| perennial | 2 | 2 | $22,417 |
| prime health services | 2 | 2 | $32,265 |
| clover health | 2 | 2 | $24,791 |
| provider partners health plan | 2 | 2 | $20,092 |
| devoted health participation | 2 | 2 | $20,291 |
| senior life | 2 | 2 | $16,131 |
Hospital comparison — Hip & femur procedures except major joint w CC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.