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Lower Extremity and Humerus Procedures (without CC/MCC)

Illinois 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?

$22,387

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $17,378 to $28,184.

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 $22,387 · 10th to 90th $457 to $36,308
$200$1K$5K$20Kfacility $22,387

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
$19,054.61
Median
$24,547.09
Typical High
$35,481.34
Ambetter
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$22,908.68
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$21,379.62
Typical High
$34,673.69
Hally Health
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$245.47
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$27,542.29
Typical High
$40,738.03

Where Illinois 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.

Illinois· 41st of 51

$22,387

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.