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Hip fracture replacement 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 27236

Hospital · insurerRate× MedicarePlans
Jefferson Hospital median $5,528 · local Medicare $7,068 · file 2026-04-14
University of Pittsburgh Medical Center$5,5280.8×1
Upmc East median $6,408 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$6,7040.9×5
UPMC Health Plan$6,1110.9×1
Upmc Presbyterian Shadyside median $17,503 · local Medicare $7,068 · file 2026-03-06
Highmark BCBS$11,7911.7×5
UPMC Health Plan$23,2153.3×1

MS-DRG 522

Hospital · insurerRate× MedicarePlans
Upmc Washington median $22,784 · local Medicare $14,661 · file 2026-03-06
Aetna$17,7011.2×2
Cigna$20,5991.4×1
City of Washington$26,0871.8×1
Health Plan of Upper Ohio Valley$22,9061.6×1
Highmark BCBS$22,7841.6×6
UPMC Health Plan$16,6301.1×1
UnitedHealthcare$25,3721.7×1
Upmc East median $26,874 · local Medicare $14,661 · file 2026-03-06
Highmark BCBS$34,8402.4×5
UPMC Health Plan$18,9071.3×2
Upmc St Margaret median $28,094 · local Medicare $14,661 · file 2026-03-06
Highmark BCBS$34,3742.3×5
UPMC Health Plan$21,8131.5×1
Upmc Mercy median $29,140 · local Medicare $14,661 · file 2026-03-06
Highmark BCBS$35,3472.4×4
UPMC Health Plan$22,9321.6×2
Upmc Passavant median $30,121 · local Medicare $14,661 · file 2026-03-07
Highmark BCBS$40,5812.8×5
UPMC Health Plan$19,6611.3×2
Upmc Presbyterian Shadyside median $35,326 · local Medicare $14,661 · file 2026-03-06
Highmark BCBS$45,1653.1×5
UPMC Health Plan$25,4871.7×1
Magee Womens Hospital Of Upmc Health System median $37,708 · local Medicare $14,661 · file 2026-03-06
Highmark BCBS$53,7603.7×5
UPMC Health Plan$21,6571.5×2

MS-DRG 521

Hospital · insurerRate× MedicarePlans
Upmc Washington median $31,045 · local Medicare $19,871 · file 2026-03-06
Aetna$23,9071.2×2
Cigna$27,9181.4×1
City of Washington$35,0881.8×1
Health Plan of Upper Ohio Valley$31,0451.6×1
Highmark BCBS$36,7631.9×6
UPMC Health Plan$22,3691.1×1
UnitedHealthcare$34,3881.7×1
Upmc East median $40,854 · local Medicare $19,871 · file 2026-03-06
Highmark BCBS$56,2162.8×5
UPMC Health Plan$25,4911.3×2
Upmc St Margaret median $42,514 · local Medicare $19,871 · file 2026-03-06
Highmark BCBS$55,4642.8×5
UPMC Health Plan$29,5641.5×1
Upmc Mercy median $43,632 · local Medicare $19,871 · file 2026-03-06
Highmark BCBS$56,1832.8×4
UPMC Health Plan$31,0811.6×2
Upmc Passavant median $46,063 · local Medicare $19,871 · file 2026-03-07
Highmark BCBS$65,4793.3×5
UPMC Health Plan$26,6471.3×2
Magee Womens Hospital Of Upmc Health System median $53,125 · local Medicare $19,871 · file 2026-03-06
Highmark BCBS$77,2763.9×5
UPMC Health Plan$28,9741.5×2
Upmc Presbyterian Shadyside median $56,240 · local Medicare $19,871 · file 2026-03-06
Highmark BCBS$77,9373.9×5
UPMC Health Plan$34,5441.7×1

Questions

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

3 Pittsburgh PA hospitals post usable commercial rates for CPT 27236, hospital outpatient. The median across hospitals is $6,408; hospital medians range from $5,528 to $17,503. Your cost depends on your plan's deductible and coinsurance.