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New Jersey rates for MS-DRG 511

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

Facilitymedian $50,119 · 10th–90th $25,119–$67,6080%10%20%10th90th$50,119$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
$28,840.32 / $50,118.72 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $50,118.72 / $66,069.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $40,738.03 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $20,417.38 / $57,543.99