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Major Shoulder or Elbow Joint Procedures with Complications

Tennessee 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?

$25,704

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $19,055 to $36,308.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,704 · 10th to 90th $15,136 to $44,668
$2K$5K$10K$20K$50Kfacility $25,704

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
$15,135.61
Median
$36,307.81
Typical High
$44,668.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$26,915.35
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$22,908.68
Typical High
$30,199.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$23,442.29
Typical High
$37,153.52

Where Tennessee 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.

Tennessee· 31st of 51

$25,704

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.