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Shoulder, Elbow or Forearm Procedures (with MCC)

Ohio 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?

$42,658

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $35,481 to $54,954.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $26,303 to $64,565
$20K$50Kfacility $42,658

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
$35,481.34
Median
$51,286.14
Typical High
$72,443.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$37,153.52
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$47,863.01
Typical High
$69,183.10
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$39,810.72
Typical High
$70,794.58
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$23,988.33
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$42,657.95
Typical High
$67,608.30

Where Ohio 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.

Ohio· 29th of 51

$42,658

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.