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Texas rates for MS-DRG 508

Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc

Facilitymedian $19,498 · 10th–90th $9,333–$35,4810%10%10th90th$19,498$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
$14,125.38 / $21,877.62 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $25,118.86 / $48,977.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,498.45 / $35,481.34
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $20,892.96 / $48,977.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $16,595.87 / $31,622.78