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Lower Extremity and Humerus Procedures (with MCC)

Oregon 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?

$79,433

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $60,256 to $100,000.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79,433 · 10th to 90th $47,863 to $114,815
$1.0K$10.0K$100.0Kfacility $79,433

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
$66,069.34
Median
$100,000.00
Typical High
$204,173.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$89,125.09
Typical High
$131,825.67
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$72,443.60
Typical High
$117,489.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$58,884.37
Typical High
$66,069.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$79,432.82
Typical High
$125,892.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$91,201.08
United
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$81,283.05
Typical High
$100,000.00

Where Oregon 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.

Oregon $79,433 · 7th 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.