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Lower Extremity and Humerus Procedures (without CC/MCC)

South Carolina 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?

$29,512

Typical facility fee. In South Carolina, October 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $23,442 to $43,652.

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 $29,512 · 10th to 90th $15,488 to $58,884
$10K$20K$50Kfacility $29,512

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
$5,888.44
Median
$35,481.34
Typical High
$79,432.82
Ambetter
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$25,703.96
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$44,668.36
Typical High
$60,255.96
Medcost
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$17,782.79
Typical High
$25,703.96
United
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$47,863.01
Typical High
$70,794.58

Where South Carolina 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.

South Carolina· 30th of 51

$29,512

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.