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Lower Extremity and Humerus Procedures (without CC/MCC)

Ohio 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?

$30,903

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $24,547 to $37,154.

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 $30,903 · 10th to 90th $18,621 to $42,658
$10K$20K$50Kfacility $30,903

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
$31,622.78
Typical High
$41,686.94
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$42,657.95
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$34,673.69
Typical High
$41,686.94
SummaCare
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$24,547.09
United
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$36,307.81
Typical High
$45,708.82

Where Ohio 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.

Ohio· 24th of 51

$30,903

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.