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

Missouri 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?

$19,498

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $16,218 to $23,442.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $12,023 to $30,903
$5K$10K$20Kfacility $19,498

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
$16,982.44
Median
$20,417.38
Typical High
$26,302.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$19,054.61
Typical High
$30,902.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151,356.12
Median
$151,356.12
Typical High
$151,356.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$19,952.62
Typical High
$31,622.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$20,417.38
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$17,782.79
Typical High
$25,118.86

Where Missouri 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.

Missouri· 39th of 51

$19,498

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.