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Major Shoulder or Elbow Joint Procedures with Complications

Massachusetts 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?

$28,184

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $16,982 to $38,019.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,184 · 10th to 90th $13,490 to $46,774
$500$1K$2K$5K$10K$20K$50Kfacility $28,184

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
$16,982.44
Median
$30,199.52
Typical High
$46,773.51
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$26,302.68
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,915.35
Typical High
$40,738.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$38,904.51
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$25,703.96
Typical High
$69,183.10
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$26,302.68
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,387.21
Typical High
$53,703.18

Where Massachusetts 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.

Massachusetts· 26th of 51

$28,184

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.