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

Wisconsin rates for MS-DRG 512

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC

Rates data updated October 2026.

How much does Shoulder, Elbow or Forearm Procedures (without CC/MCC) cost?

$28,840

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,988 to $34,674.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $16,596 to $41,687
$500$1K$2K$5K$10K$20K$50Kfacility $28,840

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$29,512.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$29,512.09
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$28,840.32
Typical High
$42,657.95
DeanCare
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$25,118.86
Typical High
$31,622.78
Medica
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$30,199.52
Typical High
$40,738.03
Quartz
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$19,054.61
Typical High
$33,113.11
Security Health
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$30,199.52
Typical High
$35,481.34
United
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$31,622.78
Typical High
$39,810.72

Where Wisconsin sits

The same service costs 162.2 times more in Alaska than in Hawaii. 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.

Wisconsin· 15th of 51

$28,840

AK $44,668HI $275

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.