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Upper Limb and Toe Amputation, Circulatory (without CC/MCC)

Washington rates for MS-DRG 257

Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC

Rates data updated October 2026.

How much does Upper Limb and Toe Amputation, Circulatory (without CC/MCC) cost?

$21,380

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $16,982 to $27,542.

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 $21,380 · 10th to 90th $14,125 to $31,623
$10K$20K$50Kfacility $21,380

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$25,118.86
Typical High
$42,657.95
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$19,054.61
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$21,379.62
Typical High
$35,481.34
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$19,054.61
Typical High
$28,183.83
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$18,620.87
Typical High
$29,512.09
United
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$26,302.68
Typical High
$36,307.81

Where Washington sits

The same service costs 102.3 times more in Vermont than in Hawaii. 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· 13th of 51

$21,380

VT $28,184HI $275

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.