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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 October 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$51,286

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $44,668 to $54,954.

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 $51,286 · 10th to 90th $6,918 to $69,183
$5K$10K$20K$50Kfacility $51,286

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$53,703.18
Typical High
$69,183.10
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$51,286.14
Typical High
$63,095.73

Where West Virginia sits

The same service costs 363.1 times more in Alaska than in Hawaii. 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.

West Virginia· 31st of 51

$51,286

AK $100,000HI $275

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.