Hip fracture repair Cost by Hospital

Hip fracture repair is a surgical procedure. Prices are from 1198 US hospitals across 52 states, from their machine-readable files.

$3,051median cash price · 1198 hospitals, 52 statestypically $1,242–$9,218 depending on the hospital
≈ 2.7× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$5,005
Cash / self-pay
$3,051
Insurer-negotiated
$4,185
Medicare pays
$1,120
$1,242$9,218
Median cash $3,051  ·  Medicare $1,120  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,051 — about 2.7× the Medicare rate ($1,120). On the higher side. A fair cash price is usually within ~2× Medicare ($2,239).

💡 Asking for the cash price instead of the $5,005 list price could save about $1,953 (39%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Southwestern Vermont Medical Center Bennington, VT $569 — ★ 3/5 202 min —
Gifford Medical Center Randolph, VT $612 $1,097 ★ 5/5 — —
Saint Vincent Hospital Erie, PA $623 $1,086 ★ 4/5 219 min —
Jefferson Hospital Louisville, GA $657 $1,078 — 99 min —
Jefferson Hospital Jefferson Hills, PA $657 $1,078 ★ 4/5 170 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $679 $1,810 ★ 2/5 174 min —
Jennie Stuart Medical Center Hopkinsville, KY $706 $1,135 ★ 1/5 167 min —
North Texas Medical Center Gainesville, TX $750 $6,968 ★ 4/5 117 min —
Westfield Memorial Hospital, Inc Westfield, NY $761 $1,086 — 120 min —
Canonsburg General Hospital Canonsburg, PA $761 $1,086 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $761 $1,086 ★ 3/5 261 min —
Grove City Medical Center Grove City, PA $796 $1,086 ★ 4/5 150 min —
Allegheny Valley Hospital Natrona, PA $830 $1,086 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $830 $1,086 ★ 3/5 274 min —
O'connor Hospital Delhi, NY $867 $1,205 — 95 min —
Little Falls Hospital Little Falls, NY $867 $983 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $867 $1,156 ★ 4/5 111 min —
Ahn Wexford Hospital Wexford, PA $900 $1,118 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $934 $1,086 ★ 3/5 208 min —
Marion General Hospital Marion, IN $1,082 — ★ 3/5 132 min —
Marion General Hospital Columbia, MS $1,082 — ★ 1/5 126 min —
Cedar-Sinai Marina Del Rey Hospital Marina Del Rey, CA $1,103 $9,541 ★ 4/5 180 min —
Avera St Anthony's Hospital O' Neill, NE $1,153 $2,561 ★ 4/5 115 min —
Tops Surgical Specialty Hospital Houston, TX $1,154 $2,472 — — —
Baylor Medical Center at Trophy Club Trophy Club, TX $1,173 $7,584 — 87 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Hip fracture repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,051; Medicare pays $1,120.

InsurerHospitalsNegotiated median
Medicaid 105
$433
$64 – $2,708
Medicare 137
$499
$86 – $2,712
Highmark 66
$583
$93 – $2,712
Tricare / VA 99
$583
$88 – $2,712
Health Net 78
$829
$106 – $4,542
Bright Health 5
$833
$433 – $3,117
Kaiser Permanente 70
$833
$93 – $4,666
Centene / Ambetter 315
$948
$93 – $3,440
AmeriHealth 85
$948
$217 – $5,148
Univera 12
$1,009
$146 – $1,486
Geisinger 23
$1,086
$230 – $6,383
Amerigroup 59
$1,096
$563 – $7,654
Blue Cross Blue Shield 593
$1,130
$115 – $13,094
Sanford Health Plan 33
$1,174
$143 – $9,546
UCare 30
$1,206
$433 – $3,107
MVP Health Care 45
$1,246
$433 – $5,573
Molina Healthcare 263
$1,266
$164 – $5,199
HealthPartners 82
$1,345
$278 – $7,187
Anthem 287
$1,459
$142 – $8,010
Coventry 35
$1,477
$251 – $4,889
Independent Health 23
$1,535
$499 – $2,708
MultiPlan / PHCS network 131
$1,652
$128 – $10,478
Priority Health 30
$1,791
$433 – $4,873
Healthcare Highways 32
$2,434
$2,069 – $14,320
Workers' Comp / No-Fault 33
$2,600
$2,600 – $10,054
Security Health Plan 26
$2,708
$433 – $13,221
Humana 384
$2,712
$207 – $6,929
Harvard Pilgrim 23
$2,712
$433 – $6,852
UPMC Health Plan 42
$2,712
$433 – $9,699
Medica 56
$2,750
$876 – $9,391
Oscar Health 126
$3,623
$1,325 – $6,587
Aetna 631
$3,976
$499 – $9,823
UnitedHealthcare 745
$4,660
$488 – $14,280
SelectHealth 33
$4,882
$475 – $9,568
AvMed 32
$4,922
$433 – $11,304
Devoted Health 57
$6,749
$1,174 – $12,832
Cigna 464
$6,802
$1,104 – $22,360
EmblemHealth 37
$12,590
$608 – $57,245

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
South Dakota$358
Mississippi$1,082
Vermont$1,215
Pennsylvania$1,253
Puerto Rico$1,260
New Mexico$1,526

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Barnaby Dedmond, MDOrthopedic SurgeryWest Columbia, SC79
Michael Oboyle, M.D.Orthopedic SurgeryGreenville, SC76
Chad Corrigan, MDOrthopedic SurgeryWichita, KS73
Michael Hawks, MDOrthopedic SurgeryOrlando, FL67
Jeffrey Engorn, D.O.Orthopedic SurgeryFort Myers, FL66
Arif Ali, M.D.Orthopedic SurgeryPark Ridge, IL62
Matthew Craig, M.D., M.S.Orthopedic SurgeryWillow Grove, PA61
Meelan Patel, MDOrthopedic SurgeryGarden City, NY59
Cyrus Abbaschian, MDOrthopedic SurgeryPlano, TX59
Matthew Brewster, D.O.Orthopedic SurgerySaint Clair Shores, MI58
Lawrence Kelly, MDOrthopedic SurgerySurprise, AZ58
Nicholas DivarisOrthopedic SurgeryEast Setauket, NY56

Browse doctors by specialty & city →

Does Medicare cover Hip fracture repair?

Yes — Medicare generally covers Hip fracture repair. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,120. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1198 US hospitals across 52 states, the typical (median) cash price is $3,051, versus a chargemaster (list) price around $5,005, a median insurer-negotiated rate of $4,185, a Medicare rate of about $1,120. Most cash prices fall between $1,242 and $9,218 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Hip fracture repair cost without insurance?
The median cash (self-pay) price across 1198 US hospitals is $3,051. Most hospitals fall between $1,242 and $9,218. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Hip fracture repair?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,120). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Hip fracture repair?
Medicare pays about $1,120. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Hip fracture repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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