go back

Pennsylvania 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?

$26,915

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $19,953 to $35,481.

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 $26,915 · 10th to 90th $15,849 to $42,658
$5K$10K$20K$50Kfacility $26,915

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
$16,595.87
Median
$28,840.32
Typical High
$42,657.95
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$21,877.62
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$44,668.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$42,657.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$33,113.11
Typical High
$40,738.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$26,915.35
Typical High
$26,915.35
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$28,840.32
Typical High
$42,657.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$19,498.45
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$25,703.96
Typical High
$46,773.51

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$26,915

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.