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Massachusetts 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?

$44,668

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $20,893 to $63,096.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $437 to $85,114
$500$2K$10K$50Kfacility $44,668

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$22,908.68
Median
$50,118.72
Typical High
$64,565.42
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$44,668.36
Typical High
$117,489.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$44,668.36
Typical High
$67,608.30
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$467.74
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$44,668.36
Typical High
$117,489.76
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$44,668.36
Typical High
$117,489.76
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$45,708.82
Typical High
$102,329.30

Where Massachusetts 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.

Massachusetts· 29th of 51

$44,668

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.