go back

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

Texas 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?

$20,417

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $14,454 to $27,542.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,417 · 10th to 90th $9,550 to $38,905
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $20,417

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
$15,848.93
Median
$23,988.33
Typical High
$44,668.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,848.93
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$27,542.29
Typical High
$53,703.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,379.62
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,595.87
Typical High
$34,673.69

Where Texas sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $20,417 · 36th of 51
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.