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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 July 2026.

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

$38,019

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $35,481 to $41,687.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $21,380 to $60,256
$500$1K$2K$5K$10K$20K$50Kfacility $38,019

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
$28,183.83
Median
$36,307.81
Typical High
$54,954.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,018.94
Typical High
$60,255.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$26,915.35
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$33,884.42
Typical High
$58,884.37
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,904.51
Typical High
$61,659.50
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$30,902.95
Typical High
$64,565.42

Where California 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.

California· 7th of 51

$38,019

NY $42,658NM $13,183

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.