go back

Lower Extremity and Humerus Procedures (with MCC)

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $52,481 for this service. Most negotiated rates run $46,774 to $102,329.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52,481 · 10th to 90th $42,658 to $104,713
$50K$100Kfacility $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$95,499.26
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$52,480.75
Typical High
$102,329.30
United
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$128,824.96

Where Vermont sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 29th of 51

$52,481

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.