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New Jersey rates for MS-DRG 512

Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc

Facilitymedian $39,811 · 10th–90th $22,909$53,7030%10%20%10th90th$39,811$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $39,810.72 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $39,810.72 / $52,480.75
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $33,113.11 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $17,782.79 / $45,708.82