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New York 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?

$31,623

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $20,893 to $39,811.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $13,490 to $46,774
$10K$20K$50Kfacility $31,623

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
$9,772.37
Median
$25,118.86
Typical High
$46,773.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$39,810.72
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$33,884.42
Typical High
$43,651.58
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$29,512.09
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$27,542.29
Typical High
$48,977.88

Where New York 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.

New York· 4th of 51

$31,623

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.