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Ohio 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?

$28,840

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,442 to $36,308.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $17,783 to $42,658
$20K$50Kfacility $28,840

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
$23,442.29
Median
$34,673.69
Typical High
$47,863.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$24,547.09
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$45,708.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,302.68
Typical High
$46,773.51
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$15,848.93
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$43,651.58

Where Ohio 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.

Ohio· 26th of 51

$28,840

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.