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New Jersey 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?

$39,811

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $25,704 to $53,703.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39,811 · 10th to 90th $18,621 to $64,565
$10K$20K$50K$100Kfacility $39,811

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
$28,183.83
Median
$47,863.01
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$48,977.88
Typical High
$64,565.42
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$18,620.87
Typical High
$56,234.13

Where New Jersey 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.

New Jersey· 8th of 51

$39,811

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.