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Tennessee 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?

$20,417

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $13,183 to $28,184.

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 $20,417 · 10th to 90th $10,000 to $32,359
$2K$5K$10K$20K$50Kfacility $20,417

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
$10,000.00
Median
$24,547.09
Typical High
$30,199.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$26,915.35
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,135.61
Typical High
$20,892.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$14,454.40
Typical High
$25,118.86

Where Tennessee 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.

Tennessee· 22nd of 51

$20,417

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.