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

New York 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?

$42,658

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $27,542 to $54,954.

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 $42,658 · 10th to 90th $16,982 to $64,565
$10K$20K$50Kfacility $42,658

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
$13,489.63
Median
$33,884.42
Typical High
$64,565.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$53,703.18
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$45,708.82
Typical High
$60,255.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$40,738.03
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$32,359.37
Typical High
$54,954.09

Where New York 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 York· 1st of 51

$42,658

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.