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Oregon rates for MS-DRG 511

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

Facilitymedian $48,978 · 10th–90th $26,303–$72,4440%20%10th90th$48,978$200.0$1.0K$5.0K$20.0K$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
$48,977.88 / $57,543.99 / $114,815.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $50,118.72 / $72,443.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $42,657.95 / $66,069.34
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $32,359.37 / $35,481.34
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $44,668.36 / $72,443.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $38,018.94 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $45,708.82 / $56,234.13