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Pennsylvania 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?

$27,542

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $27,542 for this service. Most negotiated rates run $19,055 to $34,674.

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 $27,542 · 10th to 90th $14,791 to $39,811
$5K$10K$20K$50Kfacility $27,542

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
$16,595.87
Median
$29,512.09
Typical High
$39,810.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$35,481.34
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$28,183.83
Typical High
$43,651.58
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$38,904.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$30,199.52
Typical High
$37,153.52
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$30,902.95
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$27,542.29
Typical High
$39,810.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$17,378.01
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$23,442.29
Typical High
$42,657.95

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$27,542

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.