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Missouri rates for MS-DRG 511

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

Facilitymedian $23,442 · 10th–90th $15,849–$36,3080%10%20%10th90th$23,442$5.0K$10.0K$20.0K$50.0K$100.0K

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
$20,417.38 / $21,379.62 / $29,512.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $23,988.33 / $38,904.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $23,988.33 / $33,113.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $25,118.86 / $39,810.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $22,908.68 / $31,622.78