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Shoulder, Elbow or Forearm Procedures (without CC/MCC)

California rates for MS-DRG 512

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC

Rates data updated October 2026.

How much does Shoulder, Elbow or Forearm Procedures (without CC/MCC) cost?

$31,623

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $23,442 to $40,738.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $13,804 to $56,234
$200$1K$5K$20Kfacility $31,623

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$36,307.81
Typical High
$61,659.50
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$32,359.37
Typical High
$47,863.01
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$30,199.52
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$38,904.51
Typical High
$66,069.34
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$40,738.03
Typical High
$69,183.10
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$30,199.52
Typical High
$63,095.73

Where California sits

The same service costs 162.2 times more in Alaska than in Hawaii. 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.

California· 13th of 51

$31,623

AK $44,668HI $275

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.