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Shoulder, Elbow or Forearm Procedures (with CC)

Illinois 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?

$23,988

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $19,498 to $28,840.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $479 to $34,674
$200$1K$5K$20Kfacility $23,988

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
$20,417.38
Median
$26,915.35
Typical High
$34,673.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$22,908.68
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$22,387.21
Typical High
$41,686.94
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$25,118.86
Typical High
$37,153.52

Where Illinois 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.

Illinois· 37th of 51

$23,988

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.