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Texas 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?

$24,547

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $16,982 to $33,113.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $12,023 to $44,668
$10K$20K$50Kfacility $24,547

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
$17,378.01
Median
$25,703.96
Typical High
$46,773.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$20,417.38
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$28,183.83
Typical High
$50,118.72
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
$16,218.10
Median
$23,442.29
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$18,620.87
Typical High
$38,018.94

Where Texas 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.

Texas· 33rd of 51

$24,547

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.