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California rates for MS-DRG 499

Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC

Rates data updated July 2026.

How much does MS-DRG 499 cost?

$51,286

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $44,668 to $54,954.

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 $51,286 · 10th to 90th $15,849 to $72,444
$500$2K$10K$50Kfacility $51,286

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
$36,307.81
Median
$50,118.72
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$54,954.09
Typical High
$72,443.60
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$19,952.62
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$38,018.94
Typical High
$66,069.34
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$45,708.82
Typical High
$70,794.58
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$37,153.52
Typical High
$79,432.82

Where California sits

The same service costs 3.5 times more in New York than in Oklahoma. 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.

California· 2nd of 51

$51,286

NY $52,481OK $14,791

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.