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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.

Facilitymedian $38,019 · 10th–90th $21,380$60,2560%20%40%10th90th$38,019$100.0$500.0$2.0K$10.0K$50.0K

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
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