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Pennsylvania rates for MS-DRG 512

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

Facilitymedian $26,915 · 10th–90th $13,804–$38,0190%10%10th90th$26,915$2.0K$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
$15,135.61 / $27,542.29 / $38,904.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,703.96 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $26,302.68 / $40,738.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $35,481.34
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $28,183.83 / $33,884.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $20,417.38 / $47,863.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $25,118.86 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $12,589.25 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $21,379.62 / $38,904.51