go back

Lower Extremity and Humerus Procedures (with MCC)

Hawaii 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?

$34,674

Typical facility fee. In Hawaii, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $275 to $34,674.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $251 to $34,674
$500.0$2.0K$10.0K$50.0Kfacility $34,674

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Hawaii 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.

Hawaii $34,674 · 46th 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.