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Texas 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?

$20,417

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $12,303 to $29,512.

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 $20,417 · 10th to 90th $7,762 to $47,863
$5K$10K$20K$50Kfacility $20,417

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
$19,498.45
Median
$28,840.32
Typical High
$53,703.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$12,882.50
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$32,359.37
Typical High
$56,234.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$26,302.68
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$20,417.38
Typical High
$50,118.72

Where Texas 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.

Texas· 43rd of 51

$20,417

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.