go back

Lower Extremity and Humerus Procedures (with MCC)

New York 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?

$95,499

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $95,499 for this service. Most negotiated rates run $63,096 to $120,226.

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 $95,499 · 10th to 90th $39,811 to $144,544
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $95,499

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$75,857.76
Typical High
$144,543.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$120,226.44
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$102,329.30
Typical High
$131,825.67
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$91,201.08
Typical High
$181,970.09
United
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$75,857.76
Typical High
$125,892.54

Where New York 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.

New York $95,499 · 1st 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.