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Lower Extremity and Humerus Procedures (without CC/MCC)

Colorado 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?

$48,978

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $33,884 to $57,544.

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 $48,978 · 10th to 90th $25,704 to $75,858
$20K$50K$100K$200Kfacility $48,978

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
$23,442.29
Median
$50,118.72
Typical High
$60,255.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$48,977.88
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$30,902.95
Typical High
$57,543.99
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$28,183.83
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$33,113.11
Typical High
$48,977.88

Where Colorado sits

The same service costs 3.0 times more in Colorado 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.

Colorado· 1st of 51

$48,978

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.