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Lower Extremity and Humerus Procedures (with CC)

Pennsylvania 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?

$38,019

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $26,915 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $20,893 to $53,703
$5K$10K$20K$50Kfacility $38,019

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
$22,908.68
Median
$38,018.94
Typical High
$53,703.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$38,904.51
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$39,810.72
Typical High
$53,703.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$53,703.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$41,686.94
Typical High
$52,480.75
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$40,738.03
Typical High
$60,255.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$37,153.52
Typical High
$54,954.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$24,547.09
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$32,359.37
Typical High
$58,884.37

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$38,019

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.