Price AtlasInteractive atlas · All states · techysurgeon.comHip fracture replacement: what insurers pay
Replacing the ball of the hip (or the whole hip) after a femoral-neck fracture. Stays group to MS-DRG 521-522. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 27236: Hip Fracture Replacement
793 hospitals in 74 markets. National Medicare rate $7,413, surgery center $4,882.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $5,906 | $8,496 | $10,421 | $3,284–$24,095 |
| Alaska (statewide) | 4 | — | — | — | $4,316–$23,032 |
| Arizona (statewide) | 6 | $6,326 | $8,820 | $11,133 | $4,667–$15,863 |
| Arkansas (statewide) | 3 | — | — | — | $6,078–$6,979 |
| Atlanta GA | 6 | $7,226 | $7,226 | $13,076 | $7,226–$15,026 |
| Austin TX | 4 | — | — | — | $9,082–$9,082 |
| Boston MA | 6 | $7,572 | $9,436 | $12,168 | $4,498–$13,148 |
| California (statewide) | 22 | $9,333 | $12,381 | $15,630 | $5,981–$31,014 |
| Chicago IL | 7 | $8,074 | $8,308 | $14,716 | $7,186–$16,851 |
| Cleveland OH | 10 | $7,565 | $8,826 | $11,528 | $7,208–$12,191 |
| Colorado (statewide) | 14 | $8,898 | $9,738 | $10,544 | $3,835–$22,583 |
| Connecticut (statewide) | 1 | — | — | — | $6,108–$6,108 |
| Dallas-Fort Worth TX | 11 | $10,166 | $15,630 | $16,144 | $9,126–$17,228 |
| Denver CO | 15 | $9,611 | $9,788 | $10,244 | $8,661–$13,580 |
| Detroit MI | 5 | $5,483 | $5,483 | $7,301 | $5,343–$8,676 |
| Florida (statewide) | 58 | $11,134 | $11,872 | $15,297 | $4,014–$21,194 |
| Georgia (statewide) | 24 | $5,630 | $7,367 | $15,026 | $4,453–$18,463 |
| Hawaii (statewide) | 1 | — | — | — | $14,715–$14,715 |
| Houston TX | 19 | $7,316 | $9,983 | $11,281 | $4,000–$13,850 |
| Idaho (statewide) | 12 | $6,161 | $10,686 | $10,964 | $3,810–$18,668 |
| Illinois (statewide) | 16 | $7,125 | $8,052 | $13,854 | $5,924–$14,716 |
| Indiana (statewide) | 24 | $11,468 | $13,274 | $17,498 | $6,510–$25,870 |
| Indianapolis IN | 1 | — | — | — | $12,804–$12,804 |
| Iowa (statewide) | 9 | $5,924 | $8,624 | $8,999 | $3,957–$12,511 |
| Kansas (statewide) | 10 | $7,762 | $9,674 | $11,232 | $5,952–$23,032 |
| Kentucky (statewide) | 7 | $9,214 | $11,706 | $13,146 | $3,917–$15,075 |
| Las Vegas NV | 2 | — | — | — | $4,218–$4,380 |
| Los Angeles CA | 15 | $9,778 | $10,791 | $14,026 | $9,778–$28,632 |
| Louisiana (statewide) | 22 | $4,630 | $5,711 | $6,725 | $3,639–$27,840 |
| Maine (statewide) | 8 | $27,763 | $27,763 | $48,526 | $7,000–$48,526 |
| Massachusetts (statewide) | 1 | — | — | — | $6,078–$6,078 |
| Michigan (statewide) | 16 | $7,230 | $7,654 | $8,564 | $4,701–$10,639 |
| Minneapolis-St. Paul MN | 5 | $7,512 | $7,646 | $7,646 | $7,388–$7,646 |
| Minnesota (statewide) | 10 | $6,232 | $7,388 | $14,698 | $5,171–$16,078 |
| Mississippi (statewide) | 10 | $5,464 | $5,464 | $8,327 | $3,257–$19,790 |
| Missouri (statewide) | 11 | $7,082 | $10,630 | $10,890 | $4,000–$15,514 |
| Montana (statewide) | 2 | — | — | — | $27,026–$28,377 |
| Nashville TN | 6 | $6,475 | $7,440 | $7,475 | $3,649–$7,475 |
| Nebraska (statewide) | 9 | $11,294 | $11,294 | $12,134 | $4,218–$23,542 |
| Nevada (statewide) | 3 | — | — | — | $4,218–$4,218 |
| New Hampshire (statewide) | 5 | $14,703 | $17,409 | $22,622 | $12,034–$32,494 |
| New Jersey (statewide) | 18 | $9,176 | $11,651 | $15,222 | $5,433–$23,079 |
| New Mexico (statewide) | 3 | — | — | — | $21,802–$33,643 |
| New York (statewide) | 22 | $8,900 | $13,587 | $15,871 | $4,837–$29,380 |
| New York City | 8 | $12,455 | $13,587 | $14,158 | $7,771–$21,314 |
| North Carolina (statewide) | 2 | — | — | — | $7,412–$17,902 |
| North Dakota (statewide) | 2 | — | — | — | $8,500–$16,263 |
| Ohio (statewide) | 34 | $11,642 | $15,466 | $18,211 | $3,615–$27,890 |
| Oklahoma (statewide) | 5 | $14,977 | $15,514 | $16,051 | $7,107–$19,421 |
| Oregon (statewide) | 7 | $11,594 | $20,980 | $25,094 | $6,891–$32,796 |
| Pennsylvania (statewide) | 15 | $7,095 | $16,218 | $22,710 | $4,066–$32,089 |
| Philadelphia PA | 9 | $8,288 | $8,496 | $9,751 | $6,757–$12,874 |
| Phoenix AZ | 8 | $7,537 | $8,041 | $8,379 | $6,024–$9,394 |
| Pittsburgh PA | 3 | — | — | — | $5,528–$17,503 |
| Portland OR | 9 | $16,568 | $16,568 | $25,243 | $16,172–$25,243 |
| Rhode Island (statewide) | 3 | — | — | — | $9,771–$14,130 |
| Richmond VA | 3 | — | — | — | $11,680–$11,680 |
| Rio Grande Valley TX | 3 | — | — | — | $7,196–$9,335 |
| Salt Lake City UT | 9 | $9,348 | $9,667 | $9,667 | $9,348–$9,986 |
| San Antonio TX | 3 | — | — | — | $5,192–$9,545 |
| San Diego CA | 2 | — | — | — | $16,071–$17,210 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,816–$33,836 |
| Seattle-Tacoma WA | 16 | $16,993 | $17,758 | $21,896 | $14,554–$26,727 |
| South Carolina (statewide) | 17 | $12,594 | $14,541 | $17,824 | $7,235–$20,341 |
| South Dakota (statewide) | 1 | — | — | — | $10,499–$10,499 |
| Tampa FL | 6 | $15,973 | $16,978 | $16,978 | $14,016–$16,978 |
| Tennessee (statewide) | 16 | $6,752 | $6,988 | $7,545 | $3,602–$7,862 |
| Texas (statewide) | 61 | $6,659 | $9,983 | $10,576 | $4,000–$20,580 |
| Utah (statewide) | 6 | $8,085 | $9,038 | $9,348 | $7,871–$9,667 |
| Virginia (statewide) | 16 | $14,428 | $21,450 | $24,186 | $8,975–$26,244 |
| Washington (statewide) | 11 | $15,848 | $18,356 | $23,388 | $4,722–$34,361 |
| Washington DC | 4 | — | — | — | $6,230–$10,924 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$48,308 |
| Wisconsin (statewide) | 36 | $8,010 | $15,870 | $20,183 | $3,662–$21,623 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Greene County Hospital | Mississippi (statewide) | $3,257 | 0.5× | 1 | 2026-06-05 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $3,284 | 0.5× | 1 | 2026-04-30 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.5× | 1 | 2026-04-30 |
| Southern Tennessee Regional Health System Lawrence | Tennessee (statewide) | $3,602 | 0.6× | 1 | 2026-07-14 |
| Nationwide Children'S Hospital | Ohio (statewide) | $3,615 | 0.5× | 1 | 2026-04-01 |
| Slidell Memorial Hospital | Louisiana (statewide) | $3,639 | 0.6× | 2 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.5× | 1 | 2026-01-01 |
| Stoughton Hospital | Wisconsin (statewide) | $3,662 | 0.5× | 1 | 2026-06-11 |
| Weiser Memorial Hospital | Idaho (statewide) | $3,810 | 0.5× | 5 | 2026-08-18 |
| Montrose Regional Health | Colorado (statewide) | $3,835 | 0.5× | 1 | 2026-07-13 |
| Chi Saint Joseph East | Kentucky (statewide) | $3,917 | 0.6× | 1 | 2026-02-28 |
| Cass County Memorial Hospital | Iowa (statewide) | $3,957 | 0.6× | 1 | 2026-06-01 |
| Mission Community Hospital | California (statewide) | $31,014 | 3.3× | 1 | 2026-09-01 |
| Providence Centralia Hospital | Washington (statewide) | $31,765 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $32,089 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $32,494 | 4.2× | 1 | 2026-04-01 |
| Providence Medford Medical Center | Oregon (statewide) | $32,796 | 3.9× | 2 | 2026-04-01 |
| Presbyterian Santa Fe Medical Center | New Mexico (statewide) | $33,643 | 4.5× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $33,836 | 3.2× | 4 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $34,361 | 4.1× | 3 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $48,308 | 6.9× | 1 | 2026-04-01 |
| Northern Light A R Gould Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Maine Coast Hospital | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-03-30 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $48,526 | 6.8× | 3 | 2026-02-03 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 522: Hip Replacement With Principal Diagnosis of Hip Fracture Without McC
1529 hospitals in 83 markets. National Medicare rate $15,410.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $18,850 | $21,606 | $24,198 | $14,189–$50,193 |
| Alaska (statewide) | 4 | — | — | — | $18,618–$69,708 |
| Arizona (statewide) | 29 | $27,788 | $36,988 | $47,922 | $13,421–$66,597 |
| Arkansas (statewide) | 11 | $18,460 | $19,735 | $21,710 | $16,241–$24,862 |
| Atlanta GA | 10 | $38,045 | $40,525 | $41,837 | $38,045–$62,066 |
| Austin TX | 13 | $13,789 | $24,130 | $25,698 | $13,268–$33,064 |
| Boston MA | 14 | $18,231 | $19,589 | $22,203 | $15,018–$43,365 |
| California (statewide) | 55 | $24,152 | $29,570 | $39,028 | $13,366–$113,591 |
| Charlotte NC | 8 | $30,792 | $32,347 | $41,399 | $23,756–$41,399 |
| Chicago IL | 10 | $26,260 | $30,314 | $34,836 | $20,023–$39,389 |
| Cleveland OH | 11 | $21,944 | $23,573 | $26,940 | $16,862–$35,733 |
| Colorado (statewide) | 16 | $26,180 | $40,167 | $48,968 | $12,975–$66,583 |
| Columbus OH | 3 | — | — | — | $43,044–$56,748 |
| Connecticut (statewide) | 6 | $26,330 | $35,384 | $44,366 | $17,350–$54,283 |
| Dallas-Fort Worth TX | 15 | $21,127 | $30,121 | $30,121 | $19,944–$47,417 |
| Delaware (statewide) | 2 | — | — | — | $29,248–$47,739 |
| Denver CO | 15 | $20,934 | $26,606 | $42,062 | $20,338–$55,500 |
| Detroit MI | 17 | $29,009 | $29,337 | $42,703 | $10,828–$55,970 |
| Florida (statewide) | 90 | $21,192 | $24,320 | $42,845 | $14,778–$63,610 |
| Georgia (statewide) | 44 | $29,061 | $40,999 | $49,812 | $17,026–$62,066 |
| Hawaii (statewide) | 11 | $36,880 | $37,020 | $43,627 | $32,184–$50,426 |
| Houston TX | 19 | $24,476 | $27,200 | $33,526 | $20,476–$47,940 |
| Idaho (statewide) | 16 | $33,672 | $45,506 | $52,724 | $21,851–$67,047 |
| Illinois (statewide) | 42 | $19,690 | $23,246 | $29,649 | $12,764–$38,440 |
| Indiana (statewide) | 51 | $16,576 | $28,408 | $35,584 | $11,519–$46,292 |
| Indianapolis IN | 6 | $15,001 | $26,883 | $45,696 | $14,482–$48,006 |
| Iowa (statewide) | 23 | $21,522 | $23,526 | $29,887 | $17,856–$35,774 |
| Kansas (statewide) | 22 | $18,668 | $22,476 | $27,596 | $8,973–$69,708 |
| Kentucky (statewide) | 33 | $17,192 | $21,138 | $27,329 | $12,822–$56,406 |
| Las Vegas NV | 2 | — | — | — | $34,532–$41,494 |
| Los Angeles CA | 18 | $33,957 | $36,883 | $40,678 | $28,322–$46,589 |
| Louisiana (statewide) | 25 | $16,699 | $18,944 | $22,004 | $12,801–$28,168 |
| Maine (statewide) | 13 | $42,788 | $50,825 | $55,390 | $16,328–$60,245 |
| Maryland (statewide) | 1 | — | — | — | $24,878–$24,878 |
| Massachusetts (statewide) | 8 | $24,011 | $28,902 | $30,838 | $15,098–$44,691 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $21,780–$36,120 |
| Michigan (statewide) | 38 | $25,361 | $27,955 | $35,263 | $10,828–$49,531 |
| Minneapolis-St. Paul MN | 15 | $31,268 | $35,882 | $36,206 | $22,531–$39,947 |
| Minnesota (statewide) | 23 | $26,292 | $27,023 | $35,967 | $11,626–$52,836 |
| Mississippi (statewide) | 21 | $21,218 | $22,871 | $24,210 | $16,443–$35,084 |
| Missouri (statewide) | 26 | $20,598 | $24,114 | $26,454 | $12,916–$42,737 |
| Montana (statewide) | 7 | $21,593 | $34,983 | $46,553 | $10,063–$73,409 |
| Nashville TN | 8 | $17,690 | $18,528 | $24,153 | $16,758–$40,476 |
| Nebraska (statewide) | 15 | $35,330 | $37,618 | $43,324 | $24,680–$50,577 |
| Nevada (statewide) | 8 | $28,690 | $41,776 | $48,168 | $23,737–$60,482 |
| New Hampshire (statewide) | 8 | $27,967 | $29,278 | $35,296 | $25,514–$49,808 |
| New Jersey (statewide) | 21 | $37,127 | $38,898 | $47,271 | $22,236–$62,675 |
| New Mexico (statewide) | 11 | $17,878 | $24,242 | $33,679 | $9,908–$63,484 |
| New York (statewide) | 48 | $23,866 | $28,272 | $36,766 | $15,364–$67,602 |
| New York City | 9 | $39,656 | $40,790 | $61,686 | $18,788–$66,832 |
| North Carolina (statewide) | 33 | $18,870 | $26,351 | $41,399 | $13,037–$50,088 |
| North Dakota (statewide) | 7 | $24,824 | $26,791 | $27,784 | $16,035–$38,064 |
| Ohio (statewide) | 52 | $23,258 | $31,715 | $37,919 | $13,603–$56,414 |
| Oklahoma (statewide) | 15 | $16,802 | $22,037 | $23,975 | $13,000–$39,346 |
| Oregon (statewide) | 13 | $34,306 | $37,377 | $43,194 | $18,893–$56,414 |
| Pennsylvania (statewide) | 60 | $24,364 | $32,007 | $39,221 | $16,422–$60,368 |
| Philadelphia PA | 11 | $36,853 | $40,636 | $44,786 | $35,084–$62,675 |
| Phoenix AZ | 11 | $35,249 | $37,494 | $42,315 | $35,249–$47,018 |
| Pittsburgh PA | 7 | $27,484 | $29,140 | $32,724 | $22,784–$37,708 |
| Portland OR | 9 | $42,401 | $45,261 | $54,893 | $42,270–$54,893 |
| Research Triangle NC | 9 | $27,150 | $28,940 | $31,967 | $23,006–$34,708 |
| Rhode Island (statewide) | 7 | $24,710 | $34,360 | $42,459 | $21,154–$44,634 |
| Richmond VA | 7 | $25,721 | $47,766 | $49,226 | $23,764–$49,407 |
| Rio Grande Valley TX | 6 | $24,141 | $26,154 | $28,268 | $21,770–$30,240 |
| Salt Lake City UT | 9 | $32,831 | $32,831 | $32,831 | $32,516–$32,831 |
| San Antonio TX | 3 | — | — | — | $23,796–$44,059 |
| San Diego CA | 7 | $24,090 | $29,648 | $32,704 | $23,356–$35,208 |
| San Francisco Bay Area CA | 2 | — | — | — | $25,957–$35,163 |
| Seattle-Tacoma WA | 16 | $44,550 | $46,342 | $49,142 | $40,884–$58,904 |
| South Carolina (statewide) | 30 | $37,606 | $44,910 | $54,372 | $18,294–$64,177 |
| South Dakota (statewide) | 4 | — | — | — | $23,295–$34,444 |
| St. Louis MO | 7 | $25,148 | $25,148 | $25,538 | $10,821–$36,174 |
| Tampa FL | 11 | $41,586 | $42,872 | $43,716 | $32,740–$46,968 |
| Tennessee (statewide) | 33 | $17,860 | $20,006 | $23,293 | $16,236–$40,476 |
| Texas (statewide) | 88 | $21,904 | $25,753 | $34,740 | $13,130–$58,188 |
| Utah (statewide) | 6 | $33,198 | $39,416 | $45,884 | $15,534–$46,335 |
| Vermont (statewide) | 3 | — | — | — | $26,355–$58,257 |
| Virginia (statewide) | 27 | $29,137 | $41,302 | $43,865 | $20,486–$72,908 |
| Washington (statewide) | 14 | $33,136 | $39,749 | $44,304 | $17,275–$88,630 |
| Washington DC | 11 | $33,397 | $41,331 | $42,604 | $21,233–$44,590 |
| West Virginia (statewide) | 13 | $14,516 | $15,639 | $42,332 | $12,293–$51,007 |
| Wisconsin (statewide) | 50 | $28,429 | $37,577 | $43,822 | $13,088–$50,937 |
| Wyoming (statewide) | 2 | — | — | — | $33,618–$46,933 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $8,973 | 0.7× | 3 | 2025-12-19 |
| Los Alamos Medical Center | New Mexico (statewide) | $9,908 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $10,063 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $10,821 | 0.7× | 1 | 2026-06-10 |
| Henry Ford Health -St John Hospital | Detroit MI | $10,828 | 0.7× | 4 | 2026-01-01 |
| Henry Ford Health Warren Hospital | Michigan (statewide) | $10,828 | 0.7× | 4 | 2026-01-01 |
| Henry Ford Health River District Hospital | Michigan (statewide) | $10,828 | 0.7× | 4 | 2026-01-01 |
| Putnam County Hospital | Indiana (statewide) | $11,519 | 0.7× | 2 | 2026-06-30 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $11,626 | 0.8× | 1 | 2026-01-28 |
| Wetzel County Hospital | West Virginia (statewide) | $12,293 | 0.8× | 2 | 2026-07-10 |
| Hammond Henry Hospital | Illinois (statewide) | $12,764 | 0.8× | 2 | 2026-01-22 |
| St Charles Parish Hospital | Louisiana (statewide) | $12,801 | 0.9× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $66,832 | 3.5× | 13 | 2026-04-01 |
| St Luke'S Wood River Medical Center | Idaho (statewide) | $67,047 | 4.5× | 2 | 2026-03-25 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $67,110 | 4.6× | 1 | 2025-12-15 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $67,602 | 3.5× | 10 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $69,708 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $69,708 | 4.9× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $72,908 | 5.0× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $73,409 | 4.8× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $73,586 | 3.7× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $77,902 | 3.9× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $88,630 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $113,591 | 5.7× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 521: Hip Replacement With Principal Diagnosis of Hip Fracture With McC
1506 hospitals in 83 markets. National Medicare rate $20,886.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $24,146 | $27,994 | $33,054 | $19,230–$69,397 |
| Alaska (statewide) | 4 | — | — | — | $25,060–$96,372 |
| Arizona (statewide) | 29 | $35,691 | $50,816 | $62,973 | $16,574–$82,245 |
| Arkansas (statewide) | 11 | $25,131 | $26,747 | $29,424 | $22,455–$33,696 |
| Atlanta GA | 10 | $52,597 | $54,924 | $56,703 | $52,597–$85,808 |
| Austin TX | 13 | $18,688 | $28,472 | $32,256 | $18,209–$38,218 |
| Boston MA | 13 | $24,471 | $26,549 | $35,415 | $20,354–$58,774 |
| California (statewide) | 55 | $32,940 | $40,040 | $51,655 | $18,479–$129,076 |
| Charlotte NC | 8 | $44,379 | $48,062 | $56,110 | $32,198–$56,110 |
| Chicago IL | 10 | $36,114 | $41,912 | $47,944 | $27,682–$53,386 |
| Cleveland OH | 11 | $27,944 | $31,605 | $36,512 | $20,643–$48,430 |
| Colorado (statewide) | 16 | $35,483 | $54,322 | $66,369 | $17,585–$90,242 |
| Columbus OH | 2 | — | — | — | $58,340–$76,913 |
| Connecticut (statewide) | 6 | $28,889 | $46,614 | $62,104 | $24,821–$66,108 |
| Dallas-Fort Worth TX | 15 | $26,576 | $37,122 | $37,848 | $25,433–$65,560 |
| Delaware (statewide) | 2 | — | — | — | $44,402–$79,264 |
| Denver CO | 15 | $28,854 | $35,592 | $57,009 | $28,373–$75,870 |
| Detroit MI | 16 | $39,317 | $40,781 | $66,200 | $31,101–$92,666 |
| Florida (statewide) | 90 | $28,219 | $32,603 | $58,090 | $16,282–$86,212 |
| Georgia (statewide) | 44 | $39,992 | $54,490 | $64,743 | $22,212–$85,808 |
| Hawaii (statewide) | 11 | $50,529 | $50,580 | $59,518 | $44,133–$68,629 |
| Houston TX | 19 | $28,328 | $34,880 | $43,495 | $28,050–$60,977 |
| Idaho (statewide) | 16 | $44,756 | $60,624 | $72,897 | $29,615–$93,657 |
| Illinois (statewide) | 41 | $27,156 | $32,031 | $40,740 | $19,319–$51,670 |
| Indiana (statewide) | 49 | $21,423 | $35,873 | $48,228 | $15,612–$62,742 |
| Indianapolis IN | 5 | $15,261 | $15,894 | $52,539 | $15,260–$65,065 |
| Iowa (statewide) | 20 | $27,522 | $32,160 | $40,172 | $24,651–$49,462 |
| Kansas (statewide) | 23 | $25,432 | $31,056 | $37,858 | $12,162–$70,225 |
| Kentucky (statewide) | 33 | $23,168 | $29,230 | $37,040 | $17,726–$72,998 |
| Las Vegas NV | 2 | — | — | — | $47,744–$54,456 |
| Los Angeles CA | 18 | $44,858 | $49,280 | $55,443 | $38,455–$63,144 |
| Louisiana (statewide) | 24 | $22,769 | $26,464 | $29,562 | $17,262–$38,522 |
| Maine (statewide) | 13 | $59,160 | $68,885 | $73,164 | $22,129–$83,295 |
| Maryland (statewide) | 1 | — | — | — | $19,760–$19,760 |
| Massachusetts (statewide) | 8 | $32,518 | $37,965 | $40,552 | $20,463–$47,350 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $26,916–$48,954 |
| Michigan (statewide) | 38 | $37,462 | $43,849 | $52,090 | $19,529–$86,831 |
| Minneapolis-St. Paul MN | 15 | $42,782 | $48,632 | $50,055 | $22,963–$54,142 |
| Minnesota (statewide) | 21 | $36,626 | $36,692 | $49,398 | $15,757–$61,797 |
| Mississippi (statewide) | 17 | $30,519 | $32,812 | $35,548 | $22,735–$47,551 |
| Missouri (statewide) | 27 | $27,530 | $30,518 | $35,988 | $15,687–$59,085 |
| Montana (statewide) | 7 | $29,266 | $47,138 | $62,830 | $13,914–$102,001 |
| Nashville TN | 8 | $23,106 | $23,584 | $32,306 | $22,006–$55,962 |
| Nebraska (statewide) | 15 | $48,848 | $51,028 | $58,444 | $34,124–$68,549 |
| Nevada (statewide) | 6 | $36,846 | $46,656 | $56,367 | $32,819–$59,257 |
| New Hampshire (statewide) | 8 | $35,439 | $40,996 | $48,098 | $28,898–$67,507 |
| New Jersey (statewide) | 21 | $50,011 | $53,536 | $64,881 | $30,137–$85,740 |
| New Mexico (statewide) | 10 | $28,470 | $35,986 | $46,616 | $20,452–$87,766 |
| New York (statewide) | 48 | $32,678 | $38,492 | $50,786 | $20,823–$93,460 |
| New York City | 9 | $53,747 | $55,284 | $83,606 | $25,975–$128,589 |
| North Carolina (statewide) | 33 | $24,978 | $33,197 | $56,061 | $14,654–$66,778 |
| North Dakota (statewide) | 7 | $32,404 | $37,042 | $37,832 | $30,025–$52,626 |
| Ohio (statewide) | 52 | $30,060 | $43,092 | $51,286 | $18,437–$77,516 |
| Oklahoma (statewide) | 15 | $23,454 | $29,867 | $32,296 | $14,966–$55,060 |
| Oregon (statewide) | 13 | $46,682 | $50,659 | $59,353 | $25,606–$77,516 |
| Pennsylvania (statewide) | 59 | $33,876 | $47,056 | $54,709 | $22,257–$78,988 |
| Philadelphia PA | 11 | $50,261 | $56,060 | $62,566 | $47,551–$85,740 |
| Phoenix AZ | 11 | $47,774 | $47,774 | $55,373 | $47,739–$61,220 |
| Pittsburgh PA | 7 | $41,684 | $43,632 | $49,594 | $31,045–$56,240 |
| Portland OR | 9 | $58,619 | $61,312 | $75,890 | $57,376–$75,890 |
| Research Triangle NC | 9 | $37,538 | $43,326 | $45,033 | $20,568–$46,788 |
| Rhode Island (statewide) | 7 | $36,246 | $47,628 | $55,952 | $27,724–$60,494 |
| Richmond VA | 7 | $28,076 | $49,768 | $49,768 | $27,781–$77,537 |
| Rio Grande Valley TX | 6 | $31,064 | $33,624 | $37,217 | $28,866–$39,577 |
| Salt Lake City UT | 9 | $44,497 | $44,497 | $44,497 | $44,258–$44,497 |
| San Antonio TX | 3 | — | — | — | $28,836–$53,795 |
| San Diego CA | 7 | $33,724 | $40,183 | $43,835 | $32,566–$47,373 |
| San Francisco Bay Area CA | 2 | — | — | — | $35,015–$48,613 |
| Seattle-Tacoma WA | 16 | $61,950 | $63,833 | $67,944 | $57,956–$82,708 |
| South Carolina (statewide) | 29 | $53,368 | $63,452 | $73,638 | $26,810–$92,746 |
| South Dakota (statewide) | 4 | — | — | — | $31,572–$46,684 |
| St. Louis MO | 7 | $33,005 | $33,005 | $33,474 | $14,667–$42,757 |
| Tampa FL | 11 | $56,814 | $59,276 | $59,386 | $44,374–$63,658 |
| Tennessee (statewide) | 33 | $23,996 | $28,107 | $30,851 | $20,135–$55,962 |
| Texas (statewide) | 87 | $28,620 | $34,418 | $43,404 | $18,727–$78,864 |
| Utah (statewide) | 5 | $44,497 | $61,404 | $63,889 | $21,054–$63,889 |
| Vermont (statewide) | 3 | — | — | — | $36,440–$80,548 |
| Virginia (statewide) | 27 | $42,204 | $55,379 | $59,452 | $24,482–$98,815 |
| Washington (statewide) | 13 | $48,613 | $55,365 | $61,376 | $23,806–$123,643 |
| Washington DC | 11 | $42,330 | $57,146 | $58,906 | $22,917–$60,435 |
| West Virginia (statewide) | 13 | $16,271 | $17,530 | $62,410 | $13,780–$69,132 |
| Wisconsin (statewide) | 50 | $38,531 | $51,955 | $59,394 | $14,553–$69,037 |
| Wyoming (statewide) | 2 | — | — | — | $45,564–$66,531 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $12,162 | 0.7× | 3 | 2025-12-19 |
| Wetzel County Hospital | West Virginia (statewide) | $13,780 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $13,914 | 0.7× | 1 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Thedacare Medical Center - Berlin Inc | Wisconsin (statewide) | $14,637 | 0.7× | 1 | 2026-08-08 |
| Frye Regional Medical Center | North Carolina (statewide) | $14,654 | 0.8× | 3 | 2026-07-08 |
| Mercy Hospital South | St. Louis MO | $14,667 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.8× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,260 | 0.7× | 10 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $15,261 | 0.7× | 10 | 2026-01-01 |
| Putnam County Hospital | Indiana (statewide) | $15,612 | 0.7× | 2 | 2026-06-30 |
| Mercy Hospital Perry | Missouri (statewide) | $15,687 | 0.8× | 1 | 2026-03-12 |
| Cherokee Medical Center | South Carolina (statewide) | $92,746 | 4.9× | 4 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $93,089 | 3.5× | 1 | 2026-03-12 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $93,460 | 3.6× | 10 | 2026-04-01 |
| St Luke'S Wood River Medical Center | Idaho (statewide) | $93,657 | 4.6× | 2 | 2026-03-25 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $94,830 | 3.6× | 9 | 2026-01-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $96,372 | 4.2× | 4 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $98,815 | 5.0× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $101,225 | 3.8× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $102,001 | 4.9× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $123,643 | 5.4× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $128,589 | 5.0× | 10 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $129,076 | 4.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for hip fracture replacement?
Across 793 hospitals in 74 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 27236, hospital outpatient is $10,576, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,475 to $15,529. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for hip fracture replacement?
Medicare's national hospital outpatient rate for CPT 27236 is $7,413 and its surgery-center rate is $4,882, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for hip fracture replacement?
Lowest medians: Greene County Hospital ($3,257), Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464). Highest: Northern Light Eastern Maine Medical Center ($48,526), Northern Light Maine Coast Hospital ($48,526), Northern Light A R Gould Hospital ($48,526). Coverage: every hospital whose price file we could read.