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Hip fracture fixation in Pittsburgh PA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 27245

Hospital · insurerRate× MedicarePlans
Upmc Mercy median $6,618 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$6,6180.9×4
Upmc East median $8,586 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$8,5861.2×5

CPT 27235

Hospital · insurerRate× MedicarePlans
Upmc East median $6,184 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$5,4100.8×5
UPMC Health Plan$6,9581.0×1
Jefferson Hospital median $12,950 · local Medicare $7,068 · file 2026-04-14
Aetna$16,7412.4×1
Cigna$16,9042.4×2
Highmark BCBS$9,1601.3×13
Humana$7,2851.0×1
Martin's Point$6,8721.0×1
UnitedHealthcare$22,5123.2×1
Allegheny Valley Hospital median $14,507 · local Medicare $7,068 · file 2026-04-14
Aetna$17,3462.5×1
Cigna$19,5692.8×2
Highmark BCBS$11,6681.7×14
Humana$7,2851.0×1
Martin's Point$6,8721.0×1
UnitedHealthcare$21,1503.0×2
Forbes Hospital median $14,946 · local Medicare $7,068 · file 2026-04-14
Aetna$19,5862.8×1
Cigna$20,0662.8×2
Highmark BCBS$10,3071.5×14
Humana$7,2851.0×1
Martin's Point$6,8721.0×1
UnitedHealthcare$21,1503.0×2
Ahn Wexford Hospital median $15,644 · local Medicare $7,068 · file 2026-04-14
Aetna$20,8923.0×1
Cigna$22,8033.2×2
Highmark BCBS$10,3961.5×14
Humana$7,2851.0×1
Martin's Point$6,8721.0×1
UnitedHealthcare$22,2723.2×2
Upmc Presbyterian Shadyside median $16,366 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$9,5161.3×5
UPMC Health Plan$23,2153.3×1
Allegheny General Hospital median $17,980 · local Medicare $7,068 · file 2026-04-14
Aetna$22,9683.2×1
Cigna$22,8033.2×2
Highmark BCBS$13,1581.9×14
Humana$7,2851.0×1
Martin's Point$6,8721.0×1
UnitedHealthcare$23,3533.3×2

MS-DRG 481

Hospital · insurerRate× MedicarePlans
Upmc Washington median $22,655 · local Medicare $14,501 · file 2026-03-06
Aetna$17,5101.2×2
Cigna$20,3731.4×1
City of Washington$25,8091.8×1
Health Plan of Upper Ohio Valley$22,6551.6×1
Highmark BCBS$24,6001.7×6
UPMC Health Plan$16,4541.1×1
UnitedHealthcare$25,0941.7×1
Upmc Passavant median $22,839 · local Medicare $14,501 · file 2026-03-07
Health Plan of Upper Ohio Valley$22,8391.6×1
Highmark BCBS$43,8163.0×5
UPMC Health Plan$19,4461.3×2
Upmc East median $28,161 · local Medicare $14,501 · file 2026-03-06
Highmark BCBS$37,6182.6×5
UPMC Health Plan$18,7041.3×2
Upmc St Margaret median $29,344 · local Medicare $14,501 · file 2026-03-06
Highmark BCBS$37,1142.6×5
UPMC Health Plan$21,5741.5×1
Upmc Mercy median $30,422 · local Medicare $14,501 · file 2026-03-06
Highmark BCBS$38,1642.6×4
UPMC Health Plan$22,6811.6×2
Upmc Presbyterian Shadyside median $36,986 · local Medicare $14,501 · file 2026-03-06
Highmark BCBS$48,7653.4×5
UPMC Health Plan$25,2081.7×1
Magee Womens Hospital Of Upmc Health System median $39,738 · local Medicare $14,501 · file 2026-03-06
Highmark BCBS$58,0454.0×5
UPMC Health Plan$21,4321.5×2

MS-DRG 482

Hospital · insurerRate× MedicarePlans
Upmc Washington median $17,642 · local Medicare $11,292 · file 2026-03-06
Aetna$13,6871.2×2
Cigna$15,8651.4×1
City of Washington$20,2651.8×1
Health Plan of Upper Ohio Valley$17,6421.6×1
Highmark BCBS$17,8171.6×6
UPMC Health Plan$12,9191.1×1
UnitedHealthcare$19,5411.7×1
Upmc East median $20,947 · local Medicare $11,292 · file 2026-03-06
Highmark BCBS$27,2452.4×5
UPMC Health Plan$14,6491.3×2
Upmc St Margaret median $21,840 · local Medicare $11,292 · file 2026-03-06
Highmark BCBS$26,8812.4×5
UPMC Health Plan$16,8001.5×1
Upmc Mercy median $22,652 · local Medicare $11,292 · file 2026-03-06
Highmark BCBS$27,6412.4×4
UPMC Health Plan$17,6621.6×2
Upmc Presbyterian Shadyside median $27,474 · local Medicare $11,292 · file 2026-03-06
Highmark BCBS$35,3193.1×5
UPMC Health Plan$19,6291.7×1
Magee Womens Hospital Of Upmc Health System median $29,483 · local Medicare $11,292 · file 2026-03-06
Highmark BCBS$42,0413.7×5
UPMC Health Plan$16,9251.5×2
Upmc Passavant median $29,867 · local Medicare $11,292 · file 2026-03-07
Health Plan of Upper Ohio Valley$29,8672.6×1
Highmark BCBS$31,7352.8×5
UPMC Health Plan$15,1421.3×2

MS-DRG 480

Hospital · insurerRate× MedicarePlans
Upmc Washington median $31,501 · local Medicare $20,162 · file 2026-03-06
Aetna$24,2541.2×2
Cigna$28,3281.4×1
City of Washington$35,5921.8×1
Health Plan of Upper Ohio Valley$31,5011.6×1
Highmark BCBS$35,0701.7×6
UPMC Health Plan$22,6901.1×1
UnitedHealthcare$34,8921.7×1
Upmc Passavant median $37,597 · local Medicare $20,162 · file 2026-03-07
Health Plan of Upper Ohio Valley$37,5971.9×1
Highmark BCBS$62,4643.1×5
UPMC Health Plan$27,0381.3×2
Upmc East median $39,744 · local Medicare $20,162 · file 2026-03-06
Highmark BCBS$53,6282.7×5
UPMC Health Plan$25,8591.3×2
Upmc St Margaret median $41,454 · local Medicare $20,162 · file 2026-03-06
Highmark BCBS$52,9112.6×5
UPMC Health Plan$29,9981.5×1
Upmc Mercy median $42,567 · local Medicare $20,162 · file 2026-03-06
Highmark BCBS$53,5972.7×4
UPMC Health Plan$31,5371.6×2
Magee Womens Hospital Of Upmc Health System median $51,551 · local Medicare $20,162 · file 2026-03-06
Highmark BCBS$73,7193.7×5
UPMC Health Plan$29,3831.5×2
Upmc Presbyterian Shadyside median $54,700 · local Medicare $20,162 · file 2026-03-06
Highmark BCBS$74,3493.7×5
UPMC Health Plan$35,0501.7×1

Questions

How much does hip fracture fixation cost with commercial insurance in Pittsburgh PA?

2 Pittsburgh PA hospitals post usable commercial rates for CPT 27245, hospital outpatient. The median across hospitals is $7,602; hospital medians range from $6,618 to $8,586. Your cost depends on your plan's deductible and coinsurance.