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New York 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?

$52,481

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $34,674 to $66,069.

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 $52,481 · 10th to 90th $21,380 to $79,433
$10K$20K$50K$100Kfacility $52,481

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
$16,218.10
Median
$41,686.94
Typical High
$79,432.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$66,069.34
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$56,234.13
Typical High
$72,443.60
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$50,118.72
Typical High
$102,329.30
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$39,810.72
Typical High
$69,183.10

Where New York 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 York· 1st of 51

$52,481

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.