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Washington rates for MS-DRG 512

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

Facilitymedian $40,738 · 10th–90th $23,988–$69,1830%10%10th90th$40,738$5.0K$10.0K$20.0K$50.0K$100.0K

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
$27,542.29 / $42,657.95 / $89,125.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $28,840.32 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $35,481.34 / $53,703.18
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $21,877.62 / $26,915.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $30,199.52 / $46,773.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $31,622.78 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $33,113.11 / $47,863.01