go back

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 October 2026.

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

$19,953

Typical facility fee. In Kentucky, October 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $15,136 to $25,119.

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 $19,953 · 10th to 90th $11,749 to $29,512
$10K$20Kfacility $19,953

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
$21,379.62
Median
$30,902.95
Typical High
$39,810.72
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$22,908.68
Typical High
$42,657.95
United
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$34,673.69

Where Kentucky 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.

Kentucky· 38th of 51

$19,953

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.