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Rhode Island 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?

$19,498

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,125 to $28,184.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $9,772 to $42,658
$10K$20Kfacility $19,498

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$28,183.83
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$25,118.86
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$17,378.01

Where Rhode Island 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.

Rhode Island· 26th of 51

$19,498

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.