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Oregon rates for MS-DRG 512

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

Facilitymedian $38,905 · 10th–90th $21,380–$58,8840%20%10th90th$38,905$200.0$1.0K$5.0K$20.0K$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
$38,904.51 / $45,708.82 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $39,810.72 / $58,884.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $33,884.42 / $52,480.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $26,915.35 / $36,307.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $35,481.34 / $57,543.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $30,902.95 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $37,153.52 / $44,668.36