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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 October 2026.

How much does Shoulder, Elbow or Forearm Procedures (without CC/MCC) cost?

$42,658

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $30,200 to $53,703.

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 $20,417 to $64,565
$5K$10K$20K$50K$100Kfacility $42,658

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
$14,125.38
Median
$33,113.11
Typical High
$64,565.42
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$48,977.88
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$41,686.94
Typical High
$58,884.37
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$81,283.05
United
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$33,113.11
Typical High
$56,234.13

Where New York 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.

New York· 2nd of 51

$42,658

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.