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Missouri rates for MS-DRG 497

Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC

Rates data updated July 2026.

How much does MS-DRG 497 cost?

$14,125

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $11,749 to $19,055.

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 $14,125 · 10th to 90th $8,710 to $23,442
$2K$5K$10K$20K$50Kfacility $14,125

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
$11,748.98
Median
$14,125.38
Typical High
$23,442.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,803.84
Typical High
$24,547.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151,356.12
Median
$151,356.12
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$15,848.93
Typical High
$43,651.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,791.08
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$13,489.63
Typical High
$19,498.45

Where Missouri sits

The same service costs 4.4 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.

Missouri· 40th of 51

$14,125

CA $40,738NM $9,333

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.