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

Kentucky 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?

$21,380

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $15,849 to $23,988.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,380 · 10th to 90th $13,183 to $28,184
$5.0K$10.0K$20.0K$50.0Kfacility $21,380

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
$15,848.93
Median
$24,547.09
Typical High
$39,810.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,908.68
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$21,379.62
Typical High
$32,359.37

Where Kentucky sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $21,380 · 32nd of 51
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.