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Shoulder, Elbow or Forearm Procedures (with CC)

Massachusetts 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?

$32,359

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $19,498 to $43,652.

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 $32,359 · 10th to 90th $15,488 to $53,703
$500$1K$2K$5K$10K$20K$50Kfacility $32,359

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
$19,498.45
Median
$34,673.69
Typical High
$53,703.18
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$30,199.52
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$30,902.95
Typical High
$46,773.51
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$45,708.82
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$29,512.09
Typical High
$79,432.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$30,199.52
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$23,988.33
Typical High
$61,659.50

Where Massachusetts 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.

Massachusetts· 26th of 51

$32,359

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.