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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 October 2026.

How much does MS-DRG 498 cost?

$54,954

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $41,687 to $69,183.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $24,547 to $102,329
$200$1K$5K$20K$100Kfacility $54,954

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$64,565.42
Typical High
$141,253.75
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$53,703.18
Typical High
$87,096.36
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$52,480.75
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$66,069.34
Typical High
$107,151.93
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$69,183.10
Typical High
$120,226.44
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$53,703.18
Typical High
$114,815.36

Where California sits

The same service costs 281.8 times more in New York than in Hawaii. 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.

California· 11th of 51

$54,954

NY $77,625HI $275

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.