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California rates for MS-DRG 498

Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC

Rates data updated July 2026.

How much does MS-DRG 498 cost?

$57,544

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $53,703 to $75,858.

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 $57,544 · 10th to 90th $25,119 to $109,648
$100.0$1.0K$10.0K$100.0Kfacility $57,544

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
$52,480.75
Median
$64,565.42
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$57,543.99
Typical High
$109,647.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$44,668.36
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$58,884.37
Typical High
$100,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$107,151.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$66,069.34
Typical High
$107,151.93
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$53,703.18
Typical High
$117,489.76

Where California sits

The same service costs 3.6 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $57,544 · 12th of 51
NY $77,625MI $21,380

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.