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Shoulder, Elbow or Forearm Procedures (with MCC)

California rates for MS-DRG 510

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC

Rates data updated July 2026.

How much does Shoulder, Elbow or Forearm Procedures (with MCC) cost?

$60,256

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $56,234 to $75,858.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60,256 · 10th to 90th $36,308 to $109,648
$500$2K$10K$50Kfacility $60,256

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
$51,286.14
Median
$64,565.42
Typical High
$102,329.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$60,255.96
Typical High
$109,647.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$46,773.51
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$60,255.96
Typical High
$107,151.93
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$109,647.82
Median
$109,647.82
Typical High
$109,647.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$64,565.42
Typical High
$107,151.93
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$36,307.81
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$53,703.18
Typical High
$117,489.76

Where California sits

The same service costs 3.7 times more in New York than in Michigan. 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.

California· 10th of 51

$60,256

NY $79,433MI $21,380

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.