Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
Teaneck, NJ
See all hospitals reporting MS-DRG 481 →Price type
Holy Name’s median price of $19.6k is about the same as the median hospital's median price ($19.6k), higher than 50% of the 2,216 hospitals reporting MS-DRG 481. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare prime facility · case rate · inpatient | $16,656 | $16,656 | $16,656 – $16,656 |
| 2 | Aetna golden medicare facility · case rate · inpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 3 | Clover clover facility · case rate · inpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 4 | Optum all products facility · case rate · inpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 5 | UnitedHealthcare medicare facility · case rate · inpatient | $18,507 | $18,507 | $18,507 – $18,507 |
| 6 | WellCare medicare facility · case rate · inpatient | $18,692 | $18,692 | $18,692 – $18,692 |
| 7 | Cigna hmo/pos facility · case rate · inpatient | $20,600 | $20,600 | $20,600 – $20,600 |
| 8 | Aetna worker's comp facility · case rate · inpatient | $24,021 | $24,021 | $24,021 – $24,021 |
| 9 | First Health first health facility · case rate · inpatient | $25,222 | $25,222 | $25,222 – $25,222 |
| 10 | Aetna qualified health plans facility · case rate · inpatient | $25,604 | $25,604 | $25,604 – $25,604 |
| 11 | Aetna hmo/pos facility · case rate · inpatient | $30,294 | $30,294 | $30,294 – $30,294 |
| 12 | Ambetter ambetter facility · case rate · inpatient | $31,092 | $31,092 | $31,092 – $31,092 |
| 13 | Aetna whole health facility · case rate · inpatient | $31,462 | $31,462 | $31,462 – $31,462 |
| 14 | Blue Cross Blue Shield managed facility · case rate · inpatient | $34,333 | $34,333 | $34,333 – $34,333 |
| 15 | Blue Cross Blue Shield ppo facility · case rate · inpatient | $35,793 | $35,793 | $35,793 – $35,793 |
| 16 | Blue Cross Blue Shield indemnity facility · case rate · inpatient | $43,485 | $43,485 | $43,485 – $43,485 |
Last updated: Nov 10, 2025
See Hip or thigh bone surgery (not joint replacement) with complications or comorbidities pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.