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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 July 2026.

How much does MS-DRG 496 cost?

$69,183

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $43,652 to $77,625.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69,183 · 10th to 90th $15,136 to $77,625
$500$2K$10K$50Kfacility $69,183

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
$32,359.37
Median
$50,118.72
Typical High
$75,857.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$72,443.60
Typical High
$77,624.71
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$33,113.11
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$37,153.52
Typical High
$81,283.05
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$45,708.82
Typical High
$83,176.38
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$32,359.37
Typical High
$74,131.02

Where California sits

The same service costs 4.8 times more in California than in New Mexico. 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· 1st of 51

$69,183

CA $69,183NM $14,454

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.