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Washington rates for MS-DRG 511

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

Facilitymedian $51,286 · 10th–90th $30,903–$87,0960%10%10th90th$51,286$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
$34,673.69 / $52,480.75 / $112,201.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $35,481.34 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $44,668.36 / $67,608.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $33,884.42 / $34,673.69
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $37,153.52 / $56,234.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,904.51 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $41,686.94 / $60,255.96