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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 July 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$28,840

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,442 to $36,308.

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 $28,840 · 10th to 90th $17,378 to $42,658
$5.0K$10.0K$20.0K$50.0Kfacility $28,840

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
$24,547.09
Median
$33,113.11
Typical High
$44,668.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$26,302.68
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$45,708.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,183.83
Typical High
$41,686.94
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$15,848.93
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$27,542.29
Typical High
$44,668.36

Where Ohio 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.

Ohio $28,840 · 28th 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.