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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 October 2026.

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

$33,884

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $25,119 to $44,668.

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 $33,884 · 10th to 90th $11,482 to $67,608
$200$1K$5K$20K$100Kfacility $33,884

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$41,686.94
Typical High
$74,131.02
Ambetter
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$33,884.42
Typical High
$67,608.30
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$33,113.11
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$42,657.95
Typical High
$72,443.60
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$44,668.36
Typical High
$85,113.80
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
United
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$27,542.29
Typical High
$63,095.73

Where California sits

The same service costs 195.0 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.

California· 18th of 51

$33,884

AK $53,703HI $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.