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Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $25,704 to $56,234.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $23,442 to $57,544
$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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$52,480.75
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$28,840.32
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$70,794.58

Where Vermont 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.

Vermont· 27th 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.