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Lower Extremity and Humerus Procedures (with MCC)

Wisconsin 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?

$67,608

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $51,286 to $81,283.

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 $67,608 · 10th to 90th $37,154 to $100,000
$500.0$2.0K$10.0K$50.0Kfacility $67,608

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
$54,954.09
Median
$66,069.34
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$70,794.58
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$57,543.99
Typical High
$102,329.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$54,954.09
Typical High
$70,794.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$64,565.42
Typical High
$107,151.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$41,686.94
Typical High
$54,954.09
Security Health
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$75,857.76
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$69,183.10
Typical High
$87,096.36

Where Wisconsin 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.

Wisconsin $67,608 · 13th 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.