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New Jersey 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?

$63,096

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $45,709 to $81,283.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $28,840 to $97,724
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $63,096

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
$42,657.95
Median
$72,443.60
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$74,131.02
Typical High
$95,499.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$46,773.51
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$83,176.38

Where New Jersey 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.

New Jersey $63,096 · 6th 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.