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Lower Extremity and Humerus Procedures (without CC/MCC)

Wisconsin 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?

$34,674

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $28,840 to $42,658.

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 $34,674 · 10th to 90th $20,417 to $50,119
$500$1K$2K$5K$10K$20K$50Kfacility $34,674

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
$30,199.52
Median
$30,199.52
Typical High
$35,481.34
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$36,307.81
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$34,673.69
Typical High
$52,480.75
DeanCare
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$30,199.52
Typical High
$38,018.94
Medica
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$36,307.81
Typical High
$50,118.72
Quartz
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$22,908.68
Typical High
$39,810.72
Security Health
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$37,153.52
Typical High
$42,657.95
United
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$47,863.01

Where Wisconsin 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.

Wisconsin· 15th of 51

$34,674

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.