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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 October 2026.

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

$63,096

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $45,709 to $83,176.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $19,055 to $117,490
$1K$10K$100Kfacility $63,096

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
$42,657.95
Median
$79,432.82
Typical High
$134,896.29
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$67,608.30
Typical High
$107,151.93
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$64,565.42
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$83,176.38
Typical High
$131,825.67
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$87,096.36
Typical High
$147,910.84
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$45,708.82
United
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$38,018.94
Typical High
$117,489.76

Where California sits

The same service costs 363.1 times more in Alaska 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.

California· 17th of 51

$63,096

AK $100,000HI $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.