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Lower Extremity and Humerus Procedures (with MCC)

New Jersey 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?

$70,795

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $70,795 for this service. Most negotiated rates run $50,119 to $95,499.

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 $70,795 · 10th to 90th $21,878 to $112,202
$5K$10K$20K$50K$100Kfacility $70,795

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
$54,954.09
Median
$75,857.76
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$48,977.88
Median
$89,125.09
Typical High
$128,824.96
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$70,794.58
Typical High
$112,201.85
United
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$19,054.61
Typical High
$102,329.30

Where New Jersey 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.

New Jersey· 12th of 51

$70,795

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.