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Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $20,893 to $38,019.

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 $26,915 · 10th to 90th $16,218 to $44,668
$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
$25,703.96
Median
$34,673.69
Typical High
$40,738.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$38,018.94
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,113.11
Typical High
$46,773.51
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$22,387.21
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$26,302.68
Typical High
$54,954.09

Where Virginia 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.

Virginia· 29th 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.