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Shoulder, Elbow or Forearm Procedures (with MCC)

Pennsylvania 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?

$44,668

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $30,903 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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $24,547 to $63,096
$5K$10K$20K$50Kfacility $44,668

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
$27,542.29
Median
$45,708.82
Typical High
$63,095.73
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$45,708.82
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$45,708.82
Typical High
$63,095.73
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$64,565.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$50,118.72
Typical High
$61,659.50
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$64,565.42
Typical High
$85,113.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$44,668.36
Typical High
$63,095.73
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$29,512.09
Typical High
$48,977.88
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$38,904.51
Typical High
$70,794.58

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$44,668

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.