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Lower Extremity and Humerus Procedures (with MCC)

South Carolina 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?

$64,565

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $48,978 to $89,125.

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 $64,565 · 10th to 90th $30,903 to $144,544
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $64,565

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
$44,668.36
Median
$87,096.36
Typical High
$165,958.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$56,234.13
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$64,565.42
Typical High
$109,647.82
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$81,283.05
Typical High
$144,543.98

Where South Carolina 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.

South Carolina $64,565 · 14th 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.