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Shoulder, Elbow or Forearm Procedures (with CC)

South Dakota 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?

$23,442

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $21,878 to $23,442.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $15,488 to $33,113
$20K$50Kfacility $23,442

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
$21,877.62
Median
$29,512.09
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$23,442.29
Typical High
$23,442.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$19,498.45
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$24,547.09
Typical High
$35,481.34

Where South Dakota 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.

South Dakota· 41st of 51

$23,442

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.