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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 October 2026.

How much does MS-DRG 498 cost?

$54,954

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $37,154 to $74,131.

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 $54,954 · 10th to 90th $21,380 to $89,125
$5K$10K$20K$50K$100Kfacility $54,954

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$61,659.50
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$74,131.02
Typical High
$104,712.85
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$52,480.75
Typical High
$83,176.38
United
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$19,054.61
Typical High
$83,176.38

Where New Jersey 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.

New Jersey· 10th of 51

$54,954

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.