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California rates for MS-DRG 496

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

Rates data updated October 2026.

How much does MS-DRG 496 cost?

$40,738

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $27,542 to $60,256.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $15,136 to $79,433
$200$1K$5K$20K$100Kfacility $40,738

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$44,668.36
Typical High
$85,113.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$45,708.82
Typical High
$79,432.82
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$36,307.81
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$41,686.94
Typical High
$81,283.05
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$46,773.51
Typical High
$81,283.05
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$31,622.78
Typical High
$72,443.60

Where California sits

The same service costs 177.8 times more in Alaska than in Hawaii. 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.

California· 6th of 51

$40,738

AK $48,978HI $275

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.