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New York rates for MS-DRG 512

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

Facilitymedian $40,738 · 10th–90th $15,849–$64,5650%10%10th90th$40,738$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$13,182.57 / $34,673.69 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $52,480.75 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $45,708.82 / $60,255.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $40,738.03 / $102,329.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $33,113.11 / $54,954.09