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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 July 2026.

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

$36,308

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $28,184 to $47,863.

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 $36,308 · 10th to 90th $20,893 to $52,481
$200$1K$5K$20K$100Kfacility $36,308

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$45,708.82
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$39,810.72
Typical High
$58,884.37
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$33,113.11
Typical High
$52,480.75
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,915.35
Typical High
$36,307.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$35,481.34
Typical High
$56,234.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$30,902.95
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$37,153.52
Typical High
$44,668.36

Where Oregon sits

The same service costs 3.2 times more in New York than in New Mexico. 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· 8th of 51

$36,308

NY $42,658NM $13,183

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.