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Lower Extremity and Humerus Procedures (with MCC)

Ohio 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?

$52,481

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $42,658 to $66,069.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52,481 · 10th to 90th $32,359 to $77,625
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $52,481

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
$42,657.95
Median
$60,255.96
Typical High
$83,176.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$47,863.01
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$57,543.99
Typical High
$83,176.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$47,863.01
Typical High
$85,113.80
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$28,840.32
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$48,977.88
Typical High
$79,432.82

Where Ohio 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.

Ohio $52,481 · 30th 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.