Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without — what U.S. hospitals charge
MS-DRG 497 · Inpatient stay · 4 U.S. hospitals publish a price
Cheapest quarter
under $37,873
Typical charge
$49,737
Dearest quarter
over $66,662
Actually paid
$13,047
The middle U.S. hospital bills $49,737 for Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without. The dearest hospitals charge about 2.1x what the cheapest do for the same coded work. Medicare actually paid about $13,047 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Where Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Ssm Health St Anthony Hospital - Oklahoma City
Oklahoma City, OK |
$36,376 | $11,349 |
|
Tulsa Spine & Specialty Hospital
Tulsa, OK |
$38,372 | $8,898 |
|
Sherman Oaks Hospital
Sherman Oaks, CA |
$61,102 | $14,348 |
|
Hospital For Special Surgery
New York, NY |
$83,342 | $17,592 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Hospital For Special Surgery
New York, NY |
$83,342 | $17,592 |
|
Sherman Oaks Hospital
Sherman Oaks, CA |
$61,102 | $14,348 |
|
Tulsa Spine & Specialty Hospital
Tulsa, OK |
$38,372 | $8,898 |
|
Ssm Health St Anthony Hospital - Oklahoma City
Oklahoma City, OK |
$36,376 | $11,349 |
Questions people ask
What do U.S. hospitals charge for Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without?
Across 4 U.S. hospitals, the middle charge for Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without is $49,737. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $37,873 and the dearest quarter over $66,662.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without, the hospitals in the dearest tenth charge about 2.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $13,047 is roughly what Medicare actually paid per case, against an average charge of $58,649. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 497: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.