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Major Shoulder or Elbow Joint Procedures with Complications

Texas 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?

$23,988

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $16,982 to $32,359.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $12,303 to $45,709
$10K$20K$50Kfacility $23,988

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
$14,125.38
Median
$26,302.68
Typical High
$45,708.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$20,417.38
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$29,512.09
Typical High
$57,543.99
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
$16,218.10
Median
$25,118.86
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,952.62
Typical High
$38,018.94

Where Texas 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.

Texas· 33rd of 51

$23,988

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.