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

Tennessee 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?

$19,953

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $14,125 to $29,512.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,953 · 10th to 90th $10,471 to $40,738
$2K$5K$10K$20K$50Kfacility $19,953

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
$13,803.84
Median
$33,113.11
Typical High
$40,738.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$20,892.96
Typical High
$28,183.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$21,877.62
Typical High
$33,884.42

Where Tennessee 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.

Tennessee· 38th of 51

$19,953

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.