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Lower Extremity and Humerus Procedures (without CC/MCC)

California rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$36,308

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $33,884 to $50,119.

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 $36,308 · 10th to 90th $16,982 to $72,444
$100.0$1.0K$10.0K$100.0Kfacility $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
$33,113.11
Median
$41,686.94
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$36,307.81
Typical High
$72,443.60
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$30,902.95
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$37,153.52
Typical High
$70,794.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$37,153.52
Typical High
$74,131.02
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$27,542.29
Typical High
$61,659.50

Where California sits

The same service costs 3.0 times more in Colorado than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $36,308 · 13th of 51
CO $48,978NM $16,218

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.