go back

Lower Extremity and Humerus Procedures (without CC/MCC)

Oregon 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?

$43,652

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $33,113 to $54,954.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $43,652 · 10th to 90th $25,119 to $63,096
$200.0$1.0K$5.0K$20.0K$100.0Kfacility $43,652

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
$34,673.69
Median
$54,954.09
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$47,863.01
Typical High
$69,183.10
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$39,810.72
Typical High
$63,095.73
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$31,622.78
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$42,657.95
Typical High
$66,069.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$37,153.52
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$44,668.36
Typical High
$54,954.09

Where Oregon 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.

Oregon $43,652 · 6th 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.