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California rates for MS-DRG 508

Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc

Facilitymedian $47,863 · 10th–90th $19,498$63,0960%20%10th90th$47,863$100.0$500.0$2.0K$10.0K$50.0K

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
$19,498.45 / $42,657.95 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $47,863.01 / $58,884.37
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $25,703.96 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,884.42 / $60,255.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,018.94 / $64,565.42
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $30,199.52 / $58,884.37