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California rates for MS-DRG 507

Major Shoulder Or Elbow Joint Procedures With Cc/Mcc

Facilitymedian $47,863 · 10th–90th $23,988$67,6080%20%10th90th$47,863$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $46,773.51 / $77,624.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $50,118.72 / $67,608.30
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $36,307.81 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $37,153.52 / $64,565.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $46,773.51 / $72,443.60
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $35,481.34 / $70,794.58