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Hip fracture replacement in Pennsylvania: what insurers pay

Posted commercial rates at 78 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Grove City Hospital Grove City$4,0660.6×12026-04-14
Upmc Horizon Greenville$5,1260.7×22026-03-06
Jefferson Hospital Jefferson Hills$5,5280.8×12026-04-14
Upmc Cole Coudersport$5,8670.8×12026-03-06
Upmc East Monroeville$6,4080.9×22026-03-06
Jefferson Lansdale Hospital Lansdale$6,6600.9×52026-09-15
Jefferson Abington Hospital Abington$6,7571.0×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$7,5301.1×42026-09-21
Riddle Memorial Hospital Media$7,9161.1×22026-04-01
Paoli Hospital Paoli$8,2881.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,3941.1×22026-04-01
Lankenau Medical Center Wynnewood$8,4961.2×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,4581.3×42026-09-15
Upmc Hanover Hanover$9,5391.4×12026-03-06
Upmc Hamot Erie$9,6041.4×22026-03-06
Temple University Hospital Philadelphia$10,2081.4×92026-04-13
St Clair Hospital Pittsburgh$16,2182.3×72026-03-31
Upmc Presbyterian Shadyside Pittsburgh$17,5032.5×22026-03-06
St Luke'S Hospital Bethlehem Bethlehem$19,5182.6×22026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$21,1723.0×22026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$21,1722.9×22026-02-27
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$16,4221.1×32026-08-06
Conemaugh Miners Medical Center Hastings$16,9121.1×42026-07-30
Troy Community Hospital Troy$17,8141.2×32026-03-31
Upmc Cole Coudersport$17,8771.2×42026-03-06
Upmc Horizon Greenville$17,9651.2×32026-03-06
Punxsutawney Area Hospital Punxsutawney$18,7271.3×72026-03-02
Conemaugh Nason Medical Center Roaring Spring$19,8961.4×72026-07-30
Upmc Jameson New Castle$19,9511.4×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$20,1881.4×72026-07-01
Upmc Somerset Somerset$20,3561.4×42026-03-06
Titusville Area Hospital Titusville$21,0641.4×52026-09-11
Upmc Hamot Erie$21,5891.5×32026-03-06
Upmc Northwest Seneca$22,0061.5×22026-03-06
Upmc Kane Kane$22,0321.5×42026-03-06
Upmc Bedford Memorial Everett$22,5631.5×22026-03-06
Upmc Washington Washington$22,7841.6×72026-03-06
Wayne Memorial Hospital Honesdale$24,9641.7×62026-09-16
Roxborough Memorial Hospital Philadelphia$25,8791.7×52024-06-21
Temple Health - Chestnut Hill Hospital Philadelphia$26,4711.7×82026-04-08
Upmc East Monroeville$26,8741.8×22026-03-06
Uniontown Hospital Uniontown$26,9851.8×62026-07-09
Upmc Mckeesport Mc Keesport$27,0231.8×22026-03-06
Lower Bucks Hospital Bristol$27,2151.9×52026-09-01
Upmc Altoona Altoona$27,4631.9×52026-03-06
Conemaugh Memorial Medical Center Johnstown$27,7021.9×82026-04-15
Upmc St Margaret Pittsburgh$28,0941.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$28,4141.9×62026-09-21
Upmc Mercy Pittsburgh$29,1402.0×22026-03-06
St Clair Hospital Pittsburgh$29,3112.0×62026-03-31
Robert Packer Hospital Sayre$30,0802.0×82026-03-31
Upmc Passavant Pittsburgh$30,1212.0×22026-03-07
Wellspan Evangelical Community Hospital Lewisburg$31,4562.1×72026-01-01
Jefferson Lansdale Hospital Lansdale$31,7642.2×92026-09-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$31,9122.2×42026-02-26
Upmc Wellsboro Wellsboro$31,9542.2×32026-03-06
St Luke'S Miners Memorial Hospital Coaldale$32,0602.2×32026-02-27
St Luke'S Hospital Bethlehem Bethlehem$33,5072.2×42026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$33,5072.2×42026-02-27
St Mary Medical Center Langhorne$34,0382.3×202026-03-31
Geisinger-Lewistown Hospital Lewistown$34,2862.3×72026-07-01
Jefferson Abington Hospital Abington$35,0842.4×92026-09-15
Upmc Muncy Muncy$35,1422.4×32026-03-06
Upmc Presbyterian Shadyside Pittsburgh$35,3262.4×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$35,3652.4×92026-07-01
Upmc Williamsport Williamsport$36,1412.5×32026-03-06
Paoli Hospital Paoli$36,3402.5×42026-04-01
Wellspan Good Samaritan Hospital Lebanon$36,3472.4×52026-01-01
Geisinger St. Luke'S Hospital Orwigsburg$36,6322.5×42026-02-26
Riddle Memorial Hospital Media$36,7162.4×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$37,0852.4×112026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$37,3382.5×92026-07-01
Wellspan Chambersburg Hospital Chambersburg$37,3712.5×32026-01-01
Hospital Of The Fox Chase Cancer Center Philadelphia$37,6422.4×42026-04-08
Magee Womens Hospital Of Upmc Health System Pittsburgh$37,7082.6×22026-03-06
St Luke'S Hospital - Monroe Campus Stroudsburg$39,1112.7×42026-02-27
Bryn Mawr Hospital Bryn Mawr$39,3482.5×42026-04-01
Lehigh Valley Hospital - Pocono East Stroudsburg$39,5522.7×92026-07-01
Penn State Health Lancaster Medical Center Lancaster$39,9162.7×42026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$40,6082.7×42026-03-27
Temple University Hospital Philadelphia$40,6362.6×92026-04-13
Upmc Lititz Lititz$40,8142.8×72026-03-06
Upmc Memorial York$40,9482.8×82026-03-06
Penn State Health Hampden Medical Center Enola$40,9892.7×42026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$41,4212.8×72026-07-01
St Luke'S Hospital - Easton Campus Easton$41,9162.7×42026-02-26
Penn State Health St. Joseph Reading$42,1802.7×42026-03-27
Jefferson Einstein Montgomery Hospital East Norriton$43,1883.0×52026-09-15
Upmc Carlisle Carlisle$43,2822.9×72026-03-06
Lehigh Valley Hospital Allentown$43,6282.8×62026-07-01
Jefferson Health-Northeast Philadelphia$44,0592.8×52026-09-15
Wellspan Ephrata Community Hospital Ephrata$44,4043.0×52026-01-01
Lankenau Medical Center Wynnewood$45,5123.1×42026-04-01
Upmc Hanover Hanover$45,7703.1×82026-03-06
Geisinger Community Medical Center Scranton$50,2523.4×82026-07-01
Thomas Jefferson University Hospital Philadelphia$54,1163.5×82026-09-15
Wellspan York Hospital York$60,3684.1×42026-01-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$22,2571.1×32026-08-06
Conemaugh Miners Medical Center Hastings$23,6781.2×42026-07-30
Upmc Horizon Greenville$24,3481.2×32026-03-06
Upmc Cole Coudersport$26,0851.3×42026-03-06
Upmc Jameson New Castle$26,9301.4×42026-03-06
Conemaugh Nason Medical Center Roaring Spring$26,9661.4×72026-07-30
Upmc Somerset Somerset$27,5901.4×42026-03-06
Titusville Area Hospital Titusville$29,1241.5×52026-09-11
Punxsutawney Area Hospital Punxsutawney$29,1631.5×72026-03-02
Upmc Hamot Erie$29,1981.5×32026-03-06
Upmc Kane Kane$30,2161.5×42026-03-06
Upmc Washington Washington$31,0451.6×72026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$32,5741.6×72026-07-01
Troy Community Hospital Troy$32,8271.6×52026-03-31
Upmc Northwest Seneca$33,1881.7×22026-03-06
Wayne Memorial Hospital Honesdale$33,8341.7×62026-09-16
Upmc Bedford Memorial Everett$33,9191.7×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$35,8781.7×82026-04-08
Roxborough Memorial Hospital Philadelphia$36,6851.8×52024-06-21
Lower Bucks Hospital Bristol$36,8851.9×52026-09-01
Upmc Altoona Altoona$37,2221.9×52026-03-06
Conemaugh Memorial Medical Center Johnstown$38,3021.9×82026-04-15
Uniontown Hospital Uniontown$38,5821.9×62026-07-09
St Clair Hospital Pittsburgh$38,7481.9×72026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$38,9302.0×62026-09-21
Upmc Mckeesport Mc Keesport$40,4452.0×22026-03-06
Upmc East Monroeville$40,8542.1×22026-03-06
Robert Packer Hospital Sayre$41,5902.1×82026-03-31
Upmc St Margaret Pittsburgh$42,5142.1×22026-03-06
Jefferson Lansdale Hospital Lansdale$43,0512.2×92026-09-15
Upmc Mercy Pittsburgh$43,6322.2×22026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$45,4142.3×42026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$45,4142.2×42026-02-27
Upmc Passavant Pittsburgh$46,0632.3×22026-03-07
St Mary Medical Center Langhorne$47,0562.4×202026-03-31
St Luke'S Miners Memorial Hospital Coaldale$47,3752.4×32026-02-27
Jefferson Abington Hospital Abington$47,5512.4×92026-09-15
Lehigh Valley Hospital - Hazleton Hazleton$48,0262.4×92026-07-01
St Luke'S Hospital Bethlehem Bethlehem$48,0652.3×42026-02-26
Upmc Williamsport Williamsport$48,9832.5×32026-03-06
Upmc Muncy Muncy$48,9832.5×32026-03-06
Upmc Wellsboro Wellsboro$48,9832.5×32026-03-06
Paoli Hospital Paoli$49,9952.5×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$50,2632.4×112026-07-01
Riddle Memorial Hospital Media$50,3882.4×42026-04-01
Lehigh Valley Hospital - Dickson City Dickson City$50,6062.5×92026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$51,5302.5×42026-04-08
Upmc Memorial York$51,7532.6×82026-03-06
Wellspan Good Samaritan Hospital Lebanon$52,2822.5×52026-01-01
St Luke'S Hospital - Easton Campus Easton$52,8482.5×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$53,0092.7×42026-02-27
Magee Womens Hospital Of Upmc Health System Pittsburgh$53,1252.7×22026-03-06
Bryn Mawr Hospital Bryn Mawr$54,5442.6×42026-04-01
Geisinger St. Luke'S Hospital Orwigsburg$54,5942.8×42026-02-26
Lehigh Valley Hospital - Pocono East Stroudsburg$54,8242.8×92026-07-01
Geisinger-Lewistown Hospital Lewistown$55,3212.8×72026-07-01
Upmc Hanover Hanover$55,7882.8×82026-03-06
Temple University Hospital Philadelphia$56,0602.7×92026-04-13
Wilkes-Barre General Hospital Wilkes-Barre$56,1402.8×72026-07-01
Upmc Presbyterian Shadyside Pittsburgh$56,2402.8×22026-03-06
Penn State Health St. Joseph Reading$58,0842.8×42026-03-27
Penn State Health Hampden Medical Center Enola$58,0842.8×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$58,0842.9×42026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$58,2002.8×42026-03-27
Jefferson Einstein Montgomery Hospital East Norriton$58,5353.0×52026-09-15
Jefferson Health-Northeast Philadelphia$59,7152.8×52026-09-15
Lehigh Valley Hospital Allentown$60,0742.9×62026-07-01
Wellspan Ephrata Community Hospital Ephrata$60,1823.0×52026-01-01
Upmc Lititz Lititz$60,5423.0×72026-03-06
Upmc Carlisle Carlisle$60,5683.0×72026-03-06
Lankenau Medical Center Wynnewood$65,4183.3×42026-04-01
Geisinger Community Medical Center Scranton$72,0953.6×82026-07-01
Thomas Jefferson University Hospital Philadelphia$73,3443.5×82026-09-15
Wellspan Chambersburg Hospital Chambersburg$75,4133.7×32026-01-01
Wellspan York Hospital York$78,9884.0×42026-01-01

Questions

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

78 Pennsylvania hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 25 hospitals is $9,458, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.