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Pennsylvania 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?

$43,652

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $29,512 to $52,481.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $24,547 to $63,096
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $43,652

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
$27,542.29
Median
$45,708.82
Typical High
$63,095.73
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$43,651.58
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$45,708.82
Typical High
$63,095.73
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$64,565.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$50,118.72
Typical High
$61,659.50
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$66,069.34
Typical High
$93,325.43
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$44,668.36
Typical High
$63,095.73
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$27,542.29
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$38,904.51
Typical High
$70,794.58

Where Pennsylvania 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.

Pennsylvania $43,652 · 28th 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.