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Pennsylvania rates for MS-DRG 507

Major Shoulder Or Elbow Joint Procedures With Cc/Mcc

Facilitymedian $29,512 · 10th–90th $15,849–$42,6580%10%10th90th$29,512$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$16,595.87 / $30,199.52 / $42,657.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $36,307.81 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $38,904.51
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $30,199.52 / $36,307.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $58,884.37 / $95,499.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $29,512.09 / $42,657.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $15,848.93 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $23,442.29 / $42,657.95