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California rates for MS-DRG 510

Shoulder, elbow or forearm proc, exc major joint proc w MCC

Facilitymedian $60,256 · 10th–90th $35,481–$109,6480%20%40%10th90th$60,256$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$35,481.34 / $60,255.96 / $128,824.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $60,255.96 / $109,647.82
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $47,863.01 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $60,255.96 / $107,151.93
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
$109,647.82 / $109,647.82 / $109,647.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $64,565.42 / $107,151.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $36,307.81 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $54,954.09 / $117,489.76