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Shoulder, Elbow or Forearm Procedures (with MCC)

Washington 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?

$66,069

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $66,069 for this service. Most negotiated rates run $52,481 to $81,283.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66,069 · 10th to 90th $38,019 to $100,000
$20K$50K$100Kfacility $66,069

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
$50,118.72
Median
$77,624.71
Typical High
$125,892.54
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$56,234.13
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$64,565.42
Typical High
$100,000.00
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$48,977.88
Typical High
$52,480.75
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$53,703.18
Typical High
$83,176.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$57,543.99
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$60,255.96
Typical High
$87,096.36

Where Washington 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.

Washington· 6th of 51

$66,069

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.