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Texas rates for MS-DRG 507

Major Shoulder Or Elbow Joint Procedures With Cc/Mcc

Facilitymedian $25,119 · 10th–90th $12,303–$42,6580%10%10th90th$25,119$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
$16,982.44 / $26,302.68 / $42,657.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $20,417.38 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $29,512.09 / $57,543.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $23,442.29 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $23,988.33 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $19,498.45 / $37,153.52