go back

Washington 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?

$37,154

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $24,547 to $51,286.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $37,154 · 10th to 90th $18,621 to $66,069
$10K$20K$50K$100Kfacility $37,154

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
$33,884.42
Median
$51,286.14
Typical High
$83,176.38
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$25,703.96
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$43,651.58
Typical High
$66,069.34
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$20,417.38
Typical High
$21,877.62
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$23,988.33
Typical High
$34,673.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$25,118.86
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$39,810.72
Typical High
$57,543.99

Where Washington 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.

Washington· 11th of 51

$37,154

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.