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

New Jersey 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?

$35,481

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $26,303 to $44,668.

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 $35,481 · 10th to 90th $19,953 to $53,703
$10K$20K$50K$100Kfacility $35,481

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
$24,547.09
Median
$39,810.72
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$40,738.03
Typical High
$52,480.75
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$29,512.09
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$16,982.44
Typical High
$45,708.82

Where New Jersey 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.

New Jersey· 10th of 51

$35,481

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.