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Hip fracture replacement in Pennsylvania: what insurers pay

Posted commercial rates at 17 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$7,9161.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,3941.1×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,8051.2×32026-09-15
Upmc Presbyterian Shadyside Pittsburgh$11,7911.7×12026-03-06

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$21,6921.5×42026-03-06
Jefferson Abington Hospital Abington$33,3192.3×62026-09-15
Upmc St Margaret Pittsburgh$34,3742.3×12026-03-06
Upmc East Monroeville$34,8402.4×12026-03-06
Upmc Mercy Pittsburgh$35,3472.4×12026-03-06
Paoli Hospital Paoli$36,3402.5×42026-04-01
Riddle Memorial Hospital Media$36,7162.4×42026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$38,8462.6×42026-09-15
Bryn Mawr Hospital Bryn Mawr$39,3482.5×42026-04-01
Upmc Passavant Pittsburgh$40,5812.8×12026-03-07
Temple University Hospital Philadelphia$43,6202.8×72026-04-13
Jefferson Health-Northeast Philadelphia$43,6242.8×42026-09-15
Lehigh Valley Hospital Allentown$43,6282.8×62026-07-01
Upmc Presbyterian Shadyside Pittsburgh$45,1653.1×12026-03-06
Lankenau Medical Center Wynnewood$45,5123.1×42026-04-01
Thomas Jefferson University Hospital Philadelphia$51,9023.4×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$53,7603.7×12026-03-06

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$31,1531.6×42026-03-06
Jefferson Abington Hospital Abington$45,1582.3×62026-09-15
Paoli Hospital Paoli$49,9952.5×42026-04-01
Riddle Memorial Hospital Media$50,3882.4×42026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$52,6502.6×42026-09-15
Bryn Mawr Hospital Bryn Mawr$54,5442.6×42026-04-01
Upmc St Margaret Pittsburgh$55,4642.8×12026-03-06
Upmc Mercy Pittsburgh$56,1832.8×12026-03-06
Upmc East Monroeville$56,2162.8×12026-03-06
Jefferson Health-Northeast Philadelphia$59,1252.8×42026-09-15
Lehigh Valley Hospital Allentown$60,0742.9×62026-07-01
Temple University Hospital Philadelphia$61,0892.9×72026-04-13
Lankenau Medical Center Wynnewood$65,4183.3×42026-04-01
Upmc Passavant Pittsburgh$65,4783.3×12026-03-07
Thomas Jefferson University Hospital Philadelphia$70,3443.4×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$77,2763.9×12026-03-06
Upmc Presbyterian Shadyside Pittsburgh$77,9373.9×12026-03-06

Questions

How much do insurers pay for hip fracture replacement in Pennsylvania?

17 Pennsylvania hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 4 hospitals is $8,600, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.