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Pennsylvania rates for MS-DRG 508

Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc

Facilitymedian $24,547 · 10th–90th $12,589–$35,4810%10%10th90th$24,547$2.0K$5.0K$10.0K$20.0K$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
$13,803.84 / $25,118.86 / $35,481.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $26,915.35 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $23,988.33 / $37,153.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $32,359.37
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $25,118.86 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $22,908.68 / $35,481.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $11,220.18 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,498.45 / $35,481.34