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Texas rates for MS-DRG 496

Local excision & removal int fix devices exc hip & femur w CC

Facilitymedian $25,119 · 10th–90th $12,023–$41,6870%10%10th90th$25,119$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $25,703.96 / $41,686.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $20,417.38 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $28,183.83 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $25,703.96 / $41,686.94
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $23,442.29 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $18,620.87 / $38,018.94