Updated April 2026

Hip and Femur Procedures Except Major Joint with MCC in Pennsylvania

88 Pennsylvania hospitals report Medicare totals for this DRG, averaging $21,586 (close to the $20,997 national mean), with a 3× spread from $10,179 to $34,886. 5 carry an A grade, 2 carry an F.

The Orthopedic procedure Hip and Femur Procedures Except Major Joint with MCC carries DRG code 480 in the CMS classification system. 2,631 hospitals in Pennsylvania report payment data, averaging $20,997 per procedure — median $20,343, ranging from $6,317 to $47,512. A $47,512 maximum and $6,317 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Pennsylvania, the 2,631 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($20,997) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Hip and Femur Procedures Except Major Joint with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Musculoskeletal DRGs include hip and knee replacement, spine fusion, fracture repair, and major joint revision. Implant cost, length of stay, and rehab intensity drive most of the price variation across hospitals — DRGs 469/470 (joint replacement) are among the most-watched price benchmarks in Medicare.

Hip and Femur Procedures Except Major Joint with MCC is Medicare DRG 480 in the Orthopedic category. National Medicare average for this DRG is $20,997 across 2,631 reporting hospitals. The state-level view here filters that universe down to Pennsylvania only.

Cost Picture in Pennsylvania

Pennsylvania's average for this DRG sits close to the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 3× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Pennsylvania Reporting Hip and Femur Procedures Except Major Joint with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Geisinger Jersey Shore Hospital Jersey Shore	Jersey Shore	$10,179	★★★★☆	B
2	Temple University Hospital Philadelphia	Philadelphia	$12,233	★★★☆☆	C
3	Fairmount Behavioral Health System Philadelphia	Philadelphia	$13,229	Not Rated	C
4	Milton S Hershey Medical Center Hershey	Hershey	$13,497	★★★★☆	A
5	Clarion Hospital Clarion	Clarion	$14,396	★★☆☆☆	C
6	Penn State Health Lancaster Medical Center Lancaster	Lancaster	$15,455	★★★☆☆	C
7	Saint Vincent Hospital Erie	Erie	$15,950	★★★☆☆	B
8	Wellspan Ephrata Community Hospital Ephrata	Ephrata	$15,992	★★★★☆	B
9	Penn Highlands Dubois Dubois	Dubois	$16,818	★☆☆☆☆	D
10	Doylestown Hospital Doylestown	Doylestown	$16,917	★★★★☆	B
11	Acmh Hospital Kittanning	Kittanning	$16,983	★★☆☆☆	C
12	Upmc Hamot Erie	Erie	$17,038	★★★★☆	B
13	Upmc Wellsboro Wellsboro	Wellsboro	$17,087	★★★☆☆	C
14	Eagleville Hospital Eagleville	Eagleville	$17,228	Not Rated	C
15	St Luke's Hospital - Grand View Campus Sellersville	Sellersville	$17,240	★★★★★	C
16	Jefferson Einstein Philadelphia Hospital Philadelphia	Philadelphia	$17,302	★★☆☆☆	D
17	Upmc Mckeesport Hospital Mc Keesport	Mc Keesport	$17,454	★★★☆☆	B
18	Wills Eye Hospital Philadelphia	Philadelphia	$17,485	Not Rated	C
19	Kensington Hospital Philadelphia	Philadelphia	$17,554	Not Rated	C
20	Conemaugh Meyersdale Medical Center Meyersdale	Meyersdale	$17,576	Not Rated	C
21	Shriners Hospitals For Children - Philadelphia Philadelphia	Philadelphia	$17,710	Not Rated	C
22	Nazareth Hospital Philadelphia	Philadelphia	$17,803	★★☆☆☆	C
23	Chan Soon- Shiong Medical Center At Windber Windber	Windber	$17,973	★★★☆☆	C
24	Friends Hospital Philadelphia	Philadelphia	$18,191	Not Rated	D
25	Wernersville State Hospital Wernersville	Wernersville	$18,395	Not Rated	C
26	Upmc Lititz Lititz	Lititz	$18,523	★★★☆☆	D
27	Geisinger-Bloomsburg Hospital Bloomsburg	Bloomsburg	$18,692	★★★★☆	B
28	Children's Home Of Pittsburgh Pittsburgh	Pittsburgh	$18,696	Not Rated	C
29	Lehigh Valley Hospital Allentown	Allentown	$18,878	★★★★☆	C
30	Lecom Health Corry Memorial Hospital Corry	Corry	$19,036	Not Rated	C
31	Norristown State Hospital Norristown	Norristown	$19,141	Not Rated	C
32	Indiana Regional Medical Center Indiana	Indiana	$19,333	★★★☆☆	C
33	Holy Redeemer Hospital And Medical Center Meadowbrook	Meadowbrook	$19,533	★★☆☆☆	D
34	St Luke's Hospital - Upper Bucks Campus Quakertown	Quakertown	$19,691	★★★★☆	B
35	Forbes Hospital Monroeville	Monroeville	$19,901	★★★☆☆	C
36	Mercy Catholic Medical Center- Mercy Fitzgerald Darby	Darby	$20,073	★★☆☆☆	D
37	Geisinger Medical Center Danville	Danville	$20,516	★★★★☆	B
38	Conemaugh Memorial Medical Center Johnstown	Johnstown	$20,594	★★☆☆☆	D
39	Washington Hospital, The Washington	Washington	$20,660	★★★☆☆	C
40	Penn Highlands Huntingdon Huntingdon	Huntingdon	$21,463	★★☆☆☆	C
41	Upmc Horizon Greenville	Greenville	$21,520	★★★☆☆	C
42	Upmc St Margaret Pittsburgh	Pittsburgh	$21,658	★★★☆☆	C
43	Upmc Northwest Seneca	Seneca	$21,751	★★★★☆	C
44	Main Line Hospital Lankenau Wynnewood	Wynnewood	$21,865	★★★★☆	B
45	Philhaven Hospital Mt Gretna	Mt Gretna	$21,915	Not Rated	D
46	Reading Hospital West Reading	West Reading	$22,020	★★★☆☆	B
47	Penn State Health Holy Spirit Medical Center Camp Hill	Camp Hill	$22,030	★★☆☆☆	C
48	Upmc Hanover Hanover	Hanover	$22,048	★★★☆☆	C
49	Upmc Kane Kane	Kane	$22,135	Not Rated	C
50	Hospital Of Univ Of Pennsylvania Philadelphia	Philadelphia	$22,223	★★★★★	A
51	Rothman Orthopaedic Specialty Hospital Bensalem	Bensalem	$22,471	Not Rated	D
52	Penn Highlands Tyrone Tyrone	Tyrone	$22,550	Not Rated	C
53	Horsham Clinic Ambler	Ambler	$22,560	Not Rated	C
54	Pottstown Hospital Pottstown	Pottstown	$22,634	★★☆☆☆	D
55	St Luke's Hospital - Monroe Campus Stroudsburg	Stroudsburg	$22,651	★★★★☆	B
56	Upmc Cole Coudersport	Coudersport	$22,752	★★★★☆	C
57	Ahn Emerus Westmoreland, Llc Greensburg	Greensburg	$22,907	Not Rated	C
58	Wellspan Waynesboro Hospital Waynesboro	Waynesboro	$22,938	★★★★☆	C
59	Upmc Williamsport Williamsport	Williamsport	$23,001	★★★☆☆	C
60	Wellspan York Hospital York	York	$23,171	★★★★☆	C
61	Upmc Somerset Somerset	Somerset	$23,458	★★★★☆	B
62	Geisinger St. Luke's Hospital Orwigsburg	Orwigsburg	$23,552	★★★★☆	B
63	Edgewood Surgical Hospital Transfer	Transfer	$23,608	Not Rated	C
64	Penn Highlands Mon Valley Monongahela	Monongahela	$23,777	★★☆☆☆	C
65	St Luke's Hospital - Anderson Campus Easton	Easton	$23,787	★★★★★	B
66	Allegheny Valley Hospital Natrona	Natrona	$23,932	★★★★☆	B
67	Phoenixville Hospital Phoenixville	Phoenixville	$23,975	★★★☆☆	C
68	Geisinger-Lewistown Hospital Lewistown	Lewistown	$24,040	★★★★★	B
69	Independence Health System Butler Memorial Hospita Butler	Butler	$24,088	★★☆☆☆	C
70	Meadows Psychiatric Center Centre Hall	Centre Hall	$24,194	Not Rated	F
71	Jefferson Hospital Jefferson Hills	Jefferson Hills	$24,385	★★★☆☆	B
72	Lebanon Va Medical Center Lebanon	Lebanon	$24,596	★★★★★	A
73	Tower Behavioral Health Reading	Reading	$24,743	Not Rated	C
74	Chester County Hospital West Chester	West Chester	$24,940	★★★★☆	B
75	Berwick Hospital Center Berwick	Berwick	$25,582	Not Rated	D
76	Bucktail Medical Center Renovo	Renovo	$25,890	Not Rated	C
77	Lehigh Valley Hospital - Dickson City Dickson City	Dickson City	$25,954	★★★★☆	C
78	Wellspan Good Samaritan Hospital Lebanon	Lebanon	$26,527	★★★★★	A
79	Troy Community Hospital Troy	Troy	$27,500	★★★☆☆	B
80	Jefferson Health- Northeast Philadelphia	Philadelphia	$27,536	★☆☆☆☆	D
81	Lehigh Valley Hospital - Macungie Macungie	Macungie	$29,452	Not Rated	C
82	Lower Bucks Hospital Bristol	Bristol	$30,319	★★★☆☆	C
83	Roxbury Treatment Center Shippensburg	Shippensburg	$31,131	Not Rated	D
84	Conemaugh Nason Medical Center Roaring Spring	Roaring Spring	$31,155	★★★☆☆	C
85	Sharon Regional Medical Center Sharon	Sharon	$31,463	★★☆☆☆	C
86	St Christopher's Hospital For Children Philadelphia	Philadelphia	$32,714	Not Rated	C
87	Penn Presbyterian Medical Center Philadelphia	Philadelphia	$33,198	★★★★★	A
88	Wilkes-Barre General Hospital Wilkes-Barre	Wilkes-Barre	$34,886	★☆☆☆☆	F

Frequently Asked Questions

How much does hip and femur procedures except major joint with mcc cost in Pennsylvania?

Hip and Femur Procedures Except Major Joint with MCC (DRG 480) averages $21,586 in total Medicare payment across 88 Pennsylvania hospitals reporting this code. Within the state, payments span $10,179 to $34,886 — about 3× from cheapest to most expensive.

Is Hip and Femur Procedures Except Major Joint with MCC more or less expensive in Pennsylvania than nationally?

Pennsylvania's state-level average of $21,586 sits close to the national Medicare average of $20,997 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 3× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.