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Lower Extremity and Humerus Procedures (with MCC)

West Virginia 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?

$33,884

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $28,840 to $38,019.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $33,884 · 10th to 90th $27,542 to $63,096
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $33,884

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$50,118.72
Typical High
$69,183.10
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$29,512.09
Typical High
$51,286.14

Where West Virginia 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.

West Virginia $33,884 · 48th 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.