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Lower Extremity and Humerus Procedures (with MCC)

Illinois 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?

$40,738

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $31,623 to $51,286.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $832 to $66,069
$200$1K$5K$20Kfacility $40,738

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
$33,884.42
Median
$44,668.36
Typical High
$64,565.42
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$41,686.94
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$38,904.51
Typical High
$64,565.42
Hally Health
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$457.09
Typical High
$724.44
United
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$50,118.72
Typical High
$74,131.02

Where Illinois 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.

Illinois· 41st of 51

$40,738

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.