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Lower Extremity and Humerus Procedures (with CC)

Ohio rates for MS-DRG 493

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with CC

Rates data updated July 2026.

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

$36,308

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $29,512 to $46,774.

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 $36,308 · 10th to 90th $22,387 to $54,954
$20K$50Kfacility $36,308

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
$29,512.09
Median
$43,651.58
Typical High
$60,255.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$33,113.11
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$57,543.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$42,657.95
Typical High
$60,255.96
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$19,952.62
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$34,673.69
Typical High
$56,234.13

Where Ohio sits

The same service costs 3.2 times more in New York than in New Mexico. 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.

Ohio· 30th of 51

$36,308

NY $66,069NM $20,417

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.