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Shoulder, Elbow or Forearm Procedures (with CC)

Pennsylvania 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?

$30,903

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $21,380 to $38,019.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $17,378 to $43,652
$5K$10K$20K$50Kfacility $30,903

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
$18,620.87
Median
$31,622.78
Typical High
$43,651.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$33,113.11
Typical High
$45,708.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$36,307.81
Typical High
$44,668.36
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$34,673.69
Typical High
$42,657.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$32,359.37
Typical High
$48,977.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$30,902.95
Typical High
$43,651.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$19,498.45
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$26,302.68
Typical High
$48,977.88

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$30,903

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.