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Montana 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?

$36,308

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $28,840 to $81,283.

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 $36,308 · 10th to 90th $25,119 to $87,096
$10K$20K$50K$100Kfacility $36,308

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$48,977.88
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$14,791.08

Where Montana 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.

Montana· 2nd of 51

$36,308

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.