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California rates for MS-DRG 511

Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc

Facilitymedian $47,863 · 10th–90th $25,704–$75,8580%20%40%10th90th$47,863$100.0$500.0$2.0K$10.0K$50.0K

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
$24,547.09 / $44,668.36 / $89,125.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $47,863.01 / $75,857.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $35,481.34 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $41,686.94 / $74,131.02
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
$74,131.02 / $74,131.02 / $74,131.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $44,668.36 / $77,624.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $40,738.03 / $81,283.05