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

South Carolina 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?

$28,840

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $19,953 to $39,811.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $12,023 to $66,069
$10K$20K$50Kfacility $28,840

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
$19,952.62
Median
$39,810.72
Typical High
$75,857.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$23,442.29
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$29,512.09
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$36,307.81
Typical High
$66,069.34

Where South Carolina 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.

South Carolina· 17th of 51

$28,840

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.