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Texas 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?

$35,481

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $25,119 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35,481 · 10th to 90th $16,218 to $77,625
$10K$20K$50K$100K$200Kfacility $35,481

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
$52,480.75
Typical High
$70,794.58
Ambetter
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$51,286.14
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$31,622.78
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$46,773.51
Typical High
$95,499.26
Moda Health
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$70,794.58
Typical High
$70,794.58
Providence
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$52,480.75
Typical High
$100,000.00
United
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$38,904.51
Typical High
$87,096.36

Where Texas 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.

Texas· 39th of 51

$35,481

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.