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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 27236
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $6,230 · local Medicare $7,507 · file 2026-09-01 | |||
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $5,079 | 0.7× | 4 |
| UnitedHealthcare | $7,385 | 1.0× | 1 |
| Reston Hospital Center median $6,862 · local Medicare $7,507 · file 2026-09-01 | |||
| CareFirst BCBS | $6,997 | 0.9× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,726 | 0.9× | 4 |
| UnitedHealthcare | $10,915 | 1.5× | 1 |
| Stonesprings Hospital Center median $6,874 · local Medicare $7,507 · file 2026-09-01 | |||
| CareFirst BCBS | $6,997 | 0.9× | 2 |
| Cigna | $6,230 | 0.8× | 2 |
| Elevance/Anthem/Empire | $6,750 | 0.9× | 4 |
| UnitedHealthcare | $10,915 | 1.5× | 1 |
| George Washington Univ Hospital median $10,924 · local Medicare $8,572 · file 2026-09-01 | |||
| Aetna | $5,781 | 0.7× | 1 |
| Cigna | $11,365 | 1.3× | 2 |
| Elevance/Anthem/Empire | $5,053 | 0.6× | 2 |
| Mdipa | $10,924 | 1.3× | 1 |
| UnitedHealthcare | $26,930 | 3.1× | 2 |
MS-DRG 522
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $21,233 · local Medicare $15,625 · file 2026-09-01 | |||
| Aetna | $33,098 | 2.1× | 2 |
| Bright Health | $19,994 | 1.3× | 2 |
| Cigna | $25,224 | 1.6× | 2 |
| Elevance/Anthem/Empire | $21,233 | 1.4× | 5 |
| Sentara Optima Health | $34,120 | 2.2× | 3 |
| UnitedHealthcare | $16,599 | 1.1× | 4 |
| Virginia Premier Health | $16,931 | 1.1× | 1 |
| Reston Hospital Center median $25,293 · local Medicare $15,625 · file 2026-09-01 | |||
| Aetna | $33,365 | 2.1× | 2 |
| Bright Health | $25,293 | 1.6× | 2 |
| CareFirst BCBS | $32,907 | 2.1× | 2 |
| Cigna | $25,224 | 1.6× | 2 |
| Elevance/Anthem/Empire | $31,901 | 2.0× | 5 |
| Pyramid Life | $18,834 | 1.2× | 1 |
| Sentara Optima Health | $34,120 | 2.2× | 2 |
| UnitedHealthcare | $17,122 | 1.1× | 3 |
| Virginia Premier Health | $17,465 | 1.1× | 1 |
| Stonesprings Hospital Center median $28,937 · local Medicare $15,625 · file 2026-09-01 | |||
| Aetna | $33,401 | 2.1× | 2 |
| Bright Health | $25,293 | 1.6× | 2 |
| CareFirst BCBS | $32,907 | 2.1× | 2 |
| Cigna | $25,224 | 1.6× | 2 |
| Elevance/Anthem/Empire | $32,581 | 2.1× | 5 |
| Sentara Optima Health | $34,120 | 2.2× | 2 |
| UnitedHealthcare | $17,192 | 1.1× | 3 |
| Virginia Premier Health | $17,536 | 1.1× | 1 |
| George Washington Univ Hospital median $37,857 · local Medicare $18,059 · file 2026-09-01 | |||
| Aetna | $43,491 | 2.4× | 1 |
| Cigna | $36,844 | 2.0× | 2 |
| Elevance/Anthem/Empire | $38,504 | 2.1× | 2 |
| Mdipa | $37,210 | 2.1× | 1 |
| Medstar | $25,816 | 1.4× | 1 |
| UnitedHealthcare | $62,847 | 3.5× | 2 |
| Medstar Georgetown University Hospital median $39,737 · local Medicare $18,059 · file 2026-04-01 | |||
| Aetna | $70,655 | 3.9× | 1 |
| CareFirst BCBS | $39,737 | 2.2× | 2 |
| Cigna | $60,549 | 3.4× | 2 |
| Health Care Service Corporation | $20,324 | 1.1× | 1 |
| UnitedHealthcare | $32,030 | 1.8× | 4 |
| Inova Alexandria Hospital median $41,331 · local Medicare $15,625 · file 2026-04-01 | |||
| Aetna | $41,331 | 2.6× | 3 |
| CareFirst BCBS | $35,668 | 2.3× | 2 |
| Cigna | $45,815 | 2.9× | 2 |
| Elevance/Anthem/Empire | $39,733 | 2.5× | 2 |
| Innovation | $38,645 | 2.5× | 2 |
| Sentara Health | $44,066 | 2.8× | 2 |
| UnitedHealthcare | $56,314 | 3.6× | 2 |
| Inova Mount Vernon Hospital median $41,346 · local Medicare $15,625 · file 2026-04-01 | |||
| Aetna | $41,331 | 2.6× | 3 |
| CareFirst BCBS | $35,668 | 2.3× | 2 |
| Cigna | $45,815 | 2.9× | 2 |
| Elevance/Anthem/Empire | $41,346 | 2.6× | 2 |
| Innovation | $38,645 | 2.5× | 2 |
| Sentara Health | $44,066 | 2.8× | 2 |
| UnitedHealthcare | $56,314 | 3.6× | 2 |
| Inova Loudoun Hospital median $42,398 · local Medicare $15,625 · file 2026-04-01 | |||
| Aetna | $41,331 | 2.6× | 3 |
| CareFirst BCBS | $35,668 | 2.3× | 2 |
| Cigna | $45,815 | 2.9× | 2 |
| Elevance/Anthem/Empire | $42,398 | 2.7× | 2 |
| Innovation | $38,645 | 2.5× | 2 |
| Sentara Health | $44,066 | 2.8× | 2 |
| UnitedHealthcare | $56,314 | 3.6× | 2 |
| Inova Fairfax Hospital median $42,811 · local Medicare $15,625 · file 2026-04-01 | |||
| Aetna | $42,735 | 2.7× | 3 |
| CareFirst BCBS | $38,275 | 2.4× | 2 |
| Cigna | $46,490 | 3.0× | 2 |
| Elevance/Anthem/Empire | $42,811 | 2.7× | 2 |
| Innovation | $40,067 | 2.6× | 2 |
| Sentara Health | $47,897 | 3.1× | 2 |
| UnitedHealthcare | $57,009 | 3.6× | 2 |
| Inova Fair Oaks Hospital median $43,195 · local Medicare $15,625 · file 2026-04-01 | |||
| Aetna | $41,331 | 2.6× | 3 |
| CareFirst BCBS | $35,668 | 2.3× | 2 |
| Cigna | $45,815 | 2.9× | 2 |
| Elevance/Anthem/Empire | $43,195 | 2.8× | 2 |
| Innovation | $38,645 | 2.5× | 2 |
| Sentara Health | $44,066 | 2.8× | 2 |
| UnitedHealthcare | $56,314 | 3.6× | 2 |
| Medstar Washington Hospital Center median $44,590 · local Medicare $18,059 · file 2026-04-01 | |||
| Aetna | $58,091 | 3.2× | 1 |
| CareFirst BCBS | $34,987 | 1.9× | 2 |
| Cigna | $57,633 | 3.2× | 2 |
| Health Care Service Corporation | $20,981 | 1.2× | 1 |
| Kaiser Permanente | $44,590 | 2.5× | 1 |
| Mamsi | $53,671 | 3.0× | 1 |
| UnitedHealthcare | $38,604 | 2.1× | 4 |
MS-DRG 521
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $22,917 · local Medicare $21,177 · file 2026-09-01 | |||
| Aetna | $35,984 | 1.7× | 2 |
| Bright Health | $27,781 | 1.3× | 2 |
| Cigna | $19,068 | 0.9× | 2 |
| Elevance/Anthem/Empire | $22,917 | 1.1× | 5 |
| Sentara Optima Health | $34,120 | 1.6× | 3 |
| UnitedHealthcare | $22,250 | 1.1× | 4 |
| Virginia Premier Health | $22,695 | 1.1× | 1 |
| Reston Hospital Center median $31,901 · local Medicare $21,177 · file 2026-09-01 | |||
| Aetna | $36,330 | 1.7× | 2 |
| Bright Health | $35,143 | 1.7× | 2 |
| CareFirst BCBS | $44,600 | 2.1× | 2 |
| Cigna | $19,068 | 0.9× | 2 |
| Elevance/Anthem/Empire | $31,901 | 1.5× | 5 |
| Pyramid Life | $25,219 | 1.2× | 1 |
| Sentara Optima Health | $34,120 | 1.6× | 2 |
| UnitedHealthcare | $22,927 | 1.1× | 3 |
| Virginia Premier Health | $23,385 | 1.1× | 1 |
| Stonesprings Hospital Center median $33,350 · local Medicare $21,177 · file 2026-09-01 | |||
| Aetna | $36,297 | 1.7× | 2 |
| Bright Health | $35,143 | 1.7× | 2 |
| CareFirst BCBS | $44,600 | 2.1× | 2 |
| Cigna | $19,068 | 0.9× | 2 |
| Elevance/Anthem/Empire | $32,581 | 1.5× | 5 |
| Sentara Optima Health | $34,120 | 1.6× | 2 |
| UnitedHealthcare | $22,862 | 1.1× | 3 |
| Virginia Premier Health | $23,320 | 1.1× | 1 |
| George Washington Univ Hospital median $51,309 · local Medicare $24,476 · file 2026-09-01 | |||
| Aetna | $58,945 | 2.4× | 1 |
| Cigna | $49,936 | 2.0× | 2 |
| Elevance/Anthem/Empire | $52,186 | 2.1× | 2 |
| Mdipa | $50,432 | 2.1× | 1 |
| Medstar | $34,782 | 1.4× | 1 |
| UnitedHealthcare | $85,179 | 3.5× | 2 |
| Medstar Georgetown University Hospital median $53,856 · local Medicare $24,476 · file 2026-04-01 | |||
| Aetna | $95,761 | 3.9× | 1 |
| CareFirst BCBS | $53,856 | 2.2× | 2 |
| Cigna | $82,065 | 3.4× | 2 |
| Health Care Service Corporation | $27,377 | 1.1× | 1 |
| UnitedHealthcare | $43,330 | 1.8× | 4 |
| Inova Alexandria Hospital median $57,146 · local Medicare $21,177 · file 2026-04-01 | |||
| Aetna | $57,146 | 2.7× | 3 |
| CareFirst BCBS | $48,343 | 2.3× | 2 |
| Cigna | $63,345 | 3.0× | 2 |
| Elevance/Anthem/Empire | $54,936 | 2.6× | 2 |
| Innovation | $53,431 | 2.5× | 2 |
| Sentara Health | $60,926 | 2.9× | 2 |
| UnitedHealthcare | $77,861 | 3.7× | 2 |
| Inova Mount Vernon Hospital median $57,166 · local Medicare $21,177 · file 2026-04-01 | |||
| Aetna | $57,146 | 2.7× | 3 |
| CareFirst BCBS | $48,343 | 2.3× | 2 |
| Cigna | $63,345 | 3.0× | 2 |
| Elevance/Anthem/Empire | $57,166 | 2.7× | 2 |
| Innovation | $53,431 | 2.5× | 2 |
| Sentara Health | $60,926 | 2.9× | 2 |
| UnitedHealthcare | $77,861 | 3.7× | 2 |
| Inova Loudoun Hospital median $58,620 · local Medicare $21,177 · file 2026-04-01 | |||
| Aetna | $57,146 | 2.7× | 3 |
| CareFirst BCBS | $48,343 | 2.3× | 2 |
| Cigna | $63,345 | 3.0× | 2 |
| Elevance/Anthem/Empire | $58,620 | 2.8× | 2 |
| Innovation | $53,431 | 2.5× | 2 |
| Sentara Health | $60,926 | 2.9× | 2 |
| UnitedHealthcare | $77,861 | 3.7× | 2 |
| Inova Fairfax Hospital median $59,192 · local Medicare $21,177 · file 2026-04-01 | |||
| Aetna | $59,087 | 2.8× | 3 |
| CareFirst BCBS | $51,876 | 2.4× | 2 |
| Cigna | $64,278 | 3.0× | 2 |
| Elevance/Anthem/Empire | $59,192 | 2.8× | 2 |
| Innovation | $55,397 | 2.6× | 2 |
| Sentara Health | $66,224 | 3.1× | 2 |
| UnitedHealthcare | $78,822 | 3.7× | 2 |
| Inova Fair Oaks Hospital median $59,722 · local Medicare $21,177 · file 2026-04-01 | |||
| Aetna | $57,146 | 2.7× | 3 |
| CareFirst BCBS | $48,343 | 2.3× | 2 |
| Cigna | $63,345 | 3.0× | 2 |
| Elevance/Anthem/Empire | $59,722 | 2.8× | 2 |
| Innovation | $53,431 | 2.5× | 2 |
| Sentara Health | $60,926 | 2.9× | 2 |
| UnitedHealthcare | $77,861 | 3.7× | 2 |
| Medstar Washington Hospital Center median $60,435 · local Medicare $24,476 · file 2026-04-01 | |||
| Aetna | $78,732 | 3.2× | 1 |
| CareFirst BCBS | $47,419 | 1.9× | 2 |
| Cigna | $78,112 | 3.2× | 2 |
| Health Care Service Corporation | $28,186 | 1.2× | 1 |
| Kaiser Permanente | $60,435 | 2.5× | 1 |
| Mamsi | $72,742 | 3.0× | 1 |
| UnitedHealthcare | $52,200 | 2.1× | 4 |
Questions
How much does hip fracture replacement cost with commercial insurance in Washington DC?
4 Washington DC hospitals post usable commercial rates for CPT 27236, hospital outpatient. The median across hospitals is $6,868; hospital medians range from $6,230 to $10,924. Your cost depends on your plan's deductible and coinsurance.