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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 October 2026.

How much does MS-DRG 498 cost?

$44,668

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $29,512 to $56,234.

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 $44,668 · 10th to 90th $23,442 to $67,608
$5K$10K$20K$50K$100Kfacility $44,668

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
$28,183.83
Median
$47,863.01
Typical High
$70,794.58
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$42,657.95
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$48,977.88
Typical High
$74,131.02
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$64,565.42
Geisinger
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$41,686.94
Typical High
$61,659.50
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$52,480.75
Median
$66,069.34
Typical High
$93,325.43
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$50,118.72
Typical High
$72,443.60
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$27,542.29
Typical High
$46,773.51
United
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$44,668.36
Typical High
$67,608.30

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$44,668

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.