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New York 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?

$77,625

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $77,625 for this service. Most negotiated rates run $56,234 to $97,724.

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 $77,625 · 10th to 90th $38,905 to $117,490
$5K$10K$20K$50K$100K$200Kfacility $77,625

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
$25,703.96
Median
$60,255.96
Typical High
$117,489.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$89,125.09
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$75,857.76
Typical High
$109,647.82
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$79,432.82
Typical High
$147,910.84
United
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$61,659.50
Typical High
$107,151.93

Where New York 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 York· 1st of 51

$77,625

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.