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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 July 2026.

How much does MS-DRG 498 cost?

$46,774

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $28,184 to $64,565.

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 $46,774 · 10th to 90th $22,909 to $79,433
$500.0$2.0K$10.0K$50.0Kfacility $46,774

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
$28,183.83
Median
$50,118.72
Typical High
$79,432.82
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$43,651.58
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$44,668.36
Typical High
$67,608.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$66,069.34
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$42,657.95
Typical High
$114,815.36
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$43,651.58
Typical High
$114,815.36
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$34,673.69
Typical High
$89,125.09

Where Massachusetts 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.

Massachusetts $46,774 · 23rd 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.