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Lower Extremity and Humerus Procedures (without CC/MCC)

New York 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?

$48,978

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $34,674 to $61,660.

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 $25,119 to $77,625
$5K$10K$20K$50K$100Kfacility $48,978

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
$16,982.44
Median
$39,810.72
Typical High
$77,624.71
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$53,703.18
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$50,118.72
Typical High
$72,443.60
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$100,000.00
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
United
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$41,686.94
Typical High
$72,443.60

Where New York 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.

New York· 3rd of 51

$48,978

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.