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Ohio rates for MS-DRG 512

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

Facilitymedian $22,909 · 10th–90th $14,791–$33,1130%10%20%10th90th$22,909$5.0K$10.0K$20.0K$50.0K

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
$16,982.44 / $25,703.96 / $37,153.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $20,417.38 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $26,302.68 / $38,018.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $21,877.62 / $38,904.51
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $17,378.01 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $23,442.29 / $37,153.52