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Maine 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?

$33,884

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $27,542 to $35,481.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33,884 · 10th to 90th $23,442 to $41,687
$20K$50Kfacility $33,884

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$35,481.34
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$27,542.29
Typical High
$53,703.18
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29

Where Maine 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.

Maine· 13th of 51

$33,884

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.