go back

Ohio 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?

$51,286

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $42,658 to $66,069.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $51,286 · 10th to 90th $32,359 to $77,625
$50K$100Kfacility $51,286

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
$42,657.95
Median
$61,659.50
Typical High
$87,096.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$44,668.36
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$57,543.99
Typical High
$83,176.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$47,863.01
Typical High
$85,113.80
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$28,840.32
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$51,286.14
Typical High
$81,283.05

Where Ohio 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.

Ohio· 31st of 51

$51,286

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.