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Lower Extremity and Humerus Procedures (without CC/MCC)

Texas 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?

$22,909

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $16,982 to $30,903.

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 $22,909 · 10th to 90th $11,220 to $46,774
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $22,909

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
$18,197.01
Median
$28,840.32
Typical High
$50,118.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$19,054.61
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$30,902.95
Typical High
$56,234.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$25,703.96
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$19,054.61
Typical High
$39,810.72

Where Texas 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.

Texas $22,909 · 41st 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.