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Pennsylvania 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?

$18,197

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $12,882 to $22,909.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,197 · 10th to 90th $10,233 to $26,915
$5K$10K$20Kfacility $18,197

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
$10,964.78
Median
$19,952.62
Typical High
$26,915.35
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$24,547.09
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,054.61
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$20,417.38
Typical High
$25,118.86
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,183.83
Typical High
$37,153.52
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$18,197.01
Typical High
$26,915.35
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,748.98
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$15,848.93
Typical High
$28,183.83

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$18,197

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.