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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 July 2026.

How much does MS-DRG 498 cost?

$57,544

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $46,774 to $60,256.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $57,544 · 10th to 90th $38,905 to $70,795
$20.0K$50.0K$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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$60,255.96
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$46,773.51
Typical High
$91,201.08
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
United
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51

Where Maine 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.

Maine $57,544 · 11th 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.