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Lower Extremity and Humerus Procedures (without CC/MCC)

Hawaii 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?

$18,621

Typical facility fee. In Hawaii, July 2026.

Insurers have agreed to pay about $18,621 for this service. Most negotiated rates run $275 to $18,621.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,621 · 10th to 90th $251 to $18,621
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $18,621

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where Hawaii 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.

Hawaii $18,621 · 49th 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.