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Illinois rates for MS-DRG 495

Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC

Rates data updated July 2026.

How much does MS-DRG 495 cost?

$41,687

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $33,884 to $50,119.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $41,687 · 10th to 90th $832 to $60,256
$200$1K$5K$20K$100Kfacility $41,687

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$46,773.51
Typical High
$60,255.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$38,904.51
Typical High
$72,443.60
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$457.09
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$44,668.36
Typical High
$64,565.42

Where Illinois sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 41st of 51

$41,687

NY $95,499MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.