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Shoulder, Elbow or Forearm Procedures (with CC)

Virginia 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?

$32,359

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $25,119 to $39,811.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32,359 · 10th to 90th $19,055 to $45,709
$10K$20K$50Kfacility $32,359

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
$28,840.32
Median
$36,307.81
Typical High
$41,686.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$38,904.51
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$50,118.72
Sentara
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$28,183.83
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$12,302.69
Typical High
$57,543.99

Where Virginia 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.

Virginia· 25th of 51

$32,359

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.