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Lower Extremity and Humerus Procedures (without CC/MCC)

Massachusetts 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?

$31,623

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $18,621 to $42,658.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $15,136 to $52,481
$500$1K$2K$5K$10K$20K$50Kfacility $31,623

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
$18,620.87
Median
$33,113.11
Typical High
$52,480.75
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$30,199.52
Typical High
$44,668.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$43,651.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,908.68
Typical High
$60,255.96

Where Massachusetts 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.

Massachusetts· 25th of 51

$31,623

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.