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Illinois 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?

$22,909

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $19,055 to $27,542.

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 $22,909 · 10th to 90th $457 to $33,884
$200$1K$5K$20Kfacility $22,909

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
$19,952.62
Median
$25,703.96
Typical High
$33,884.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,877.62
Typical High
$39,810.72
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$24,547.09
Typical High
$36,307.81

Where Illinois 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.

Illinois· 37th of 51

$22,909

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.