go back

New York 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?

$95,499

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $95,499 for this service. Most negotiated rates run $63,096 to $120,226.

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 $95,499 · 10th to 90th $40,738 to $141,254
$20K$50K$100Kfacility $95,499

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
$29,512.09
Median
$74,131.02
Typical High
$141,253.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$120,226.44
Typical High
$147,910.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$102,329.30
Typical High
$131,825.67
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$89,125.09
Typical High
$181,970.09
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$75,857.76
Typical High
$123,026.88

Where New York 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.

New York· 1st of 51

$95,499

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.