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

Utah 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?

$26,915

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $22,387 to $33,113.

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 $26,915 · 10th to 90th $18,621 to $34,674
$20K$50Kfacility $26,915

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
$21,877.62
Median
$28,840.32
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$34,673.69
Typical High
$48,977.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$26,915.35
Typical High
$33,884.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$14,454.40
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$21,379.62
Typical High
$27,542.29

Where Utah 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.

Utah· 23rd of 51

$26,915

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.