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Lower Extremity and Humerus Procedures (with MCC)

Maine 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?

$69,183

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $56,234 to $72,444.

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 $69,183 · 10th to 90th $47,863 to $85,114
$50.0K$100.0Kfacility $69,183

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$72,443.60
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$56,234.13
Typical High
$109,647.82
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$47,863.01
Typical High
$47,863.01

Where Maine 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.

Maine $69,183 · 12th 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.