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Lower Extremity and Humerus Procedures (with MCC)

Texas 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?

$42,658

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $28,840 to $60,256.

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 $42,658 · 10th to 90th $19,055 to $87,096
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $42,658

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
$21,877.62
Median
$52,480.75
Typical High
$93,325.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$36,307.81
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$56,234.13
Typical High
$102,329.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$131,825.67
Median
$131,825.67
Typical High
$131,825.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$46,773.51
Typical High
$109,647.82
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$32,359.37
Typical High
$74,131.02

Where Texas 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.

Texas $42,658 · 38th 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.