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Texas rates for MS-DRG 512

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

Facilitymedian $21,380 · 10th–90th $9,550$38,9050%10%10th90th$21,380$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
$15,848.93 / $23,988.33 / $38,904.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $16,218.10 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $27,542.29 / $53,703.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $58,884.37
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $22,387.21 / $38,904.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $21,379.62 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,595.87 / $34,673.69