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Major Shoulder or Elbow Joint Procedures (without CC/MCC)

New York rates for MS-DRG 508

Major Shoulder or Elbow Joint Procedures without CC/MCC

Rates data updated July 2026.

How much does Major Shoulder or Elbow Joint Procedures (without CC/MCC) cost?

$39,811

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $25,704 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39,811 · 10th to 90th $16,982 to $58,884
$10K$20K$50Kfacility $39,811

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
$12,302.69
Median
$30,902.95
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$50,118.72
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$42,657.95
Typical High
$54,954.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$37,153.52
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$31,622.78
Typical High
$52,480.75

Where New York sits

The same service costs 3.9 times more in California 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.

New York· 3rd of 51

$39,811

CA $47,863NM $12,303

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.