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Major Shoulder or Elbow Joint Procedures with Complications

California rates for MS-DRG 507

Major Shoulder or Elbow Joint Procedures with CC/MCC

Rates data updated July 2026.

How much does Major Shoulder or Elbow Joint Procedures with Complications cost?

$47,863

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $43,652 to $52,481.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47,863 · 10th to 90th $25,704 to $66,069
$500$2K$10K$50Kfacility $47,863

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
$27,542.29
Median
$46,773.51
Typical High
$61,659.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$50,118.72
Typical High
$67,608.30
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$34,673.69
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$37,153.52
Typical High
$66,069.34
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$46,773.51
Typical High
$72,443.60
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$35,481.34
Typical High
$70,794.58

Where California sits

The same service costs 3.4 times more in Montana than in New Mexico. 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.

California· 3rd of 51

$47,863

MT $48,978NM $14,454

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.