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Tennessee 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?

$38,019

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $27,542 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $21,878 to $74,131
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $38,019

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
$25,118.86
Median
$60,255.96
Typical High
$74,131.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$32,359.37
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$51,286.14
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$39,810.72
Typical High
$61,659.50

Where Tennessee 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.

Tennessee $38,019 · 32nd 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.