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Texas rates for MS-DRG 511

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

Facilitymedian $26,915 · 10th–90th $12,023–$48,9780%10%10th90th$26,915$2.0K$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
$19,952.62 / $30,199.52 / $48,977.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $19,952.62 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $33,113.11 / $67,608.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $74,131.02
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $28,183.83 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $26,915.35 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $20,417.38 / $43,651.58