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Shoulder, Elbow or Forearm Procedures (with CC)

California rates for MS-DRG 511

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

Rates data updated July 2026.

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

$47,863

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $44,668 to $52,481.

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 $47,863 · 10th to 90th $26,303 to $75,858
$500$2K$10K$50Kfacility $47,863

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
$45,708.82
Typical High
$69,183.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$47,863.01
Typical High
$75,857.76
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$33,113.11
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$41,686.94
Typical High
$74,131.02
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
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$44,668.36
Typical High
$77,624.71
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$37,153.52
Typical High
$81,283.05

Where California sits

The same service costs 3.2 times more in New York than in New Mexico. 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· 6th of 51

$47,863

NY $53,703NM $16,596

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.