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Washington 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?

$81,283

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $64,565 to $97,724.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81,283 · 10th to 90th $47,863 to $120,226
$20K$50K$100K$200Kfacility $81,283

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
$60,255.96
Median
$93,325.43
Typical High
$151,356.12
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$74,131.02
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$77,624.71
Typical High
$120,226.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$50,118.72
Typical High
$79,432.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$66,069.34
Typical High
$102,329.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$72,443.60
Typical High
$100,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$72,443.60
Typical High
$104,712.85

Where Washington 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.

Washington· 7th of 51

$81,283

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.