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Maine 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?

$70,795

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $70,795 for this service. Most negotiated rates run $54,954 to $89,125.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $70,795 · 10th to 90th $50,119 to $89,125
$20K$50K$100Kfacility $70,795

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$70,794.58
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$91,201.08
Typical High
$91,201.08
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$75,857.76

Where Maine 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.

Maine· 4th of 51

$70,795

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.