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

Oregon 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?

$37,154

Typical facility fee. In Oregon, October 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $28,184 to $45,709.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $37,154 · 10th to 90th $21,380 to $58,884
$200$1K$5K$20K$100Kfacility $37,154

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
$21,877.62
Median
$45,708.82
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$45,708.82
Typical High
$63,095.73
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$44,668.36
Typical High
$74,131.02
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$27,542.29
Typical High
$28,183.83
Providence
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$38,904.51
Typical High
$63,095.73
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$32,359.37
Typical High
$43,651.58
United
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$40,738.03
Typical High
$52,480.75

Where Oregon 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.

Oregon· 7th of 51

$37,154

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.