go back

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

North Carolina 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?

$23,988

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $17,783 to $32,359.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $14,125 to $36,308
$5K$10K$20K$50Kfacility $23,988

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
$14,791.08
Median
$19,054.61
Typical High
$32,359.37
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$19,952.62
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$24,547.09
Typical High
$33,884.42
Medcost
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$12,022.64
Typical High
$20,892.96
United
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$32,359.37
Typical High
$39,810.72

Where North Carolina 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.

North Carolina· 31st of 51

$23,988

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.