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Major Shoulder or Elbow Joint Procedures with Complications

Washington 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?

$42,658

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $33,113 to $50,119.

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 $42,658 · 10th to 90th $25,704 to $63,096
$10K$20K$50K$100Kfacility $42,658

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
$30,199.52
Median
$45,708.82
Typical High
$74,131.02
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$41,686.94
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$38,904.51
Typical High
$58,884.37
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$39,810.72
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$36,307.81
Typical High
$56,234.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$41,686.94
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$35,481.34
Typical High
$52,480.75

Where Washington 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.

Washington· 8th of 51

$42,658

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.