go back

Lower Extremity and Humerus Procedures (with MCC)

California rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$75,858

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $69,183 to $89,125.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $75,858 · 10th to 90th $28,840 to $131,826
$100.0$1.0K$10.0K$100.0Kfacility $75,858

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
$43,651.58
Median
$79,432.82
Typical High
$123,026.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$75,857.76
Typical High
$131,825.67
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$57,543.99
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$74,131.02
Typical High
$128,824.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$131,825.67
Median
$131,825.67
Typical High
$131,825.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$81,283.05
Typical High
$131,825.67
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$38,018.94
Typical High
$112,201.85

Where California sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $75,858 · 9th of 51
NY $95,499MI $21,380

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.