Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Elbow replacement: what insurers pay

Total elbow replacement. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 24363: Elbow Replacement

875 hospitals in 75 markets. National Medicare rate $17,914, surgery center $13,753.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)9$16,238$18,926$21,758$13,036–$33,036
Alaska (statewide)2———$20,940–$28,069
Arizona (statewide)5$11,792$11,821$15,169$11,788–$17,881
Arkansas (statewide)2———$10,024–$16,100
Atlanta GA6$9,722$9,722$14,963$9,722–$16,710
Austin TX13$14,000$15,308$15,308$14,000–$26,333
Boston MA10$25,674$30,716$34,517$14,734–$38,698
California (statewide)47$25,613$41,155$69,590$14,930–$69,590
Charlotte NC5$21,863$21,863$21,863$21,566–$21,863
Chicago IL7$22,984$27,813$29,642$16,764–$30,270
Cleveland OH10$14,494$18,247$28,009$11,426–$34,836
Colorado (statewide)12$15,575$17,716$19,568$11,954–$34,598
Dallas-Fort Worth TX9$18,128$19,497$22,017$17,658–$49,392
Denver CO15$17,826$18,482$27,898$12,858–$34,218
Detroit MI12$14,330$14,682$16,182$11,318–$33,450
Florida (statewide)54$13,340$14,147$17,472$9,927–$36,804
Georgia (statewide)22$16,242$16,710$26,409$9,672–$32,528
Hawaii (statewide)2———$15,420–$22,890
Houston TX19$22,017$24,221$27,233$15,912–$34,004
Idaho (statewide)10$19,267$33,198$46,711$14,582–$56,465
Illinois (statewide)21$17,114$24,953$31,631$13,819–$54,635
Indiana (statewide)16$37,147$39,249$40,724$18,390–$98,123
Indianapolis IN1———$21,738–$21,738
Iowa (statewide)11$29,280$34,097$40,320$13,971–$50,219
Kansas (statewide)10$17,171$17,984$22,304$13,782–$32,812
Kentucky (statewide)11$18,634$24,551$32,261$9,752–$36,136
Las Vegas NV2———$11,067–$32,722
Los Angeles CA17$21,408$26,610$33,634$17,313–$48,711
Louisiana (statewide)22$15,590$16,869$17,921$9,014–$29,118
Maine (statewide)15$75,354$86,430$87,484$46,850–$109,991
Massachusetts (statewide)2———$22,951–$28,850
Miami-Fort Lauderdale FL1———$34,335–$34,335
Michigan (statewide)17$18,198$26,062$26,224$14,682–$35,631
Minneapolis-St. Paul MN6$22,440$22,440$35,299$22,218–$42,066
Minnesota (statewide)11$32,714$51,613$61,694$19,560–$82,360
Mississippi (statewide)8$17,739$18,756$22,433$7,992–$25,296
Missouri (statewide)10$20,111$21,953$24,838$13,346–$33,102
Montana (statewide)4———$18,891–$71,452
Nashville TN6$12,340$12,340$32,805$12,290–$39,967
Nebraska (statewide)9$13,971$13,971$16,750$11,067–$28,144
Nevada (statewide)4———$11,067–$12,823
New Hampshire (statewide)6$31,407$41,922$59,474$22,684–$78,517
New Jersey (statewide)20$20,098$21,338$21,378$13,727–$55,768
New Mexico (statewide)4———$19,406–$51,822
New York (statewide)23$27,296$32,643$40,094$15,016–$65,600
New York City8$27,296$27,296$30,972$25,892–$47,052
North Carolina (statewide)7$14,000$14,000$15,420$11,832–$38,066
North Dakota (statewide)5$24,166$31,814$32,908$19,812–$42,579
Ohio (statewide)35$21,466$30,010$41,226$10,949–$67,394
Oklahoma (statewide)7$22,486$31,263$36,864$19,421–$44,964
Oregon (statewide)7$47,093$61,966$74,698$36,336–$86,837
Pennsylvania (statewide)18$36,868$52,548$68,247$11,235–$80,656
Philadelphia PA10$12,522$15,636$16,787$10,060–$20,995
Phoenix AZ6$15,169$15,169$15,169$15,169–$15,169
Pittsburgh PA6$34,340$37,911$39,823$9,822–$46,288
Portland OR9$26,100$26,100$57,578$22,539–$57,578
Rhode Island (statewide)3———$36,183–$38,552
Richmond VA3———$21,327–$21,444
Rio Grande Valley TX4———$12,902–$23,507
Salt Lake City UT9$26,142$27,034$27,034$16,966–$27,925
San Antonio TX3———$15,234–$26,334
San Diego CA2———$38,834–$41,585
San Francisco Bay Area CA4———$16,544–$53,114
Seattle-Tacoma WA16$52,666$56,705$65,378$43,929–$76,894
South Carolina (statewide)18$21,572$23,040$34,178$14,582–$44,433
South Dakota (statewide)2———$23,319–$28,888
Tampa FL6$19,612$19,612$20,958$19,612–$24,884
Tennessee (statewide)18$12,832$16,703$17,889$12,242–$39,672
Texas (statewide)69$17,676$19,497$23,685$9,752–$98,123
Utah (statewide)6$18,500$24,622$26,142$16,966–$27,034
Virginia (statewide)19$33,146$44,462$51,479$12,325–$59,423
Washington (statewide)12$42,472$52,010$61,381$19,038–$84,601
Washington DC4———$11,384–$19,524
West Virginia (statewide)3———$16,486–$74,454
Wisconsin (statewide)28$17,550$17,900$23,314$8,650–$42,887

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Jefferson County HospitalMississippi (statewide)$7,9920.5×52026-09-15
Unitypoint Health - MeriterWisconsin (statewide)$8,6500.5×12026-01-28
Watertown Regional Medical CenterWisconsin (statewide)$8,8280.5×12026-04-01
St James Parish HospitalLouisiana (statewide)$9,0140.6×22026-04-01
Emory Hillandale HospitalGeorgia (statewide)$9,6720.6×22026-04-01
Emory University HospitalAtlanta GA$9,7220.6×42026-04-01
Emory Decatur HospitalGeorgia (statewide)$9,7220.6×42026-04-01
Emory Saint Joseph's HospitalAtlanta GA$9,7220.6×42026-04-01
Emory University Hospital MidtownAtlanta GA$9,7220.6×42026-04-01
Emory Johns Creek HospitalAtlanta GA$9,7220.6×42026-04-01
Saint Joseph HospitalKentucky (statewide)$9,7520.6×12026-02-28
Chi St Joseph Health Regional HospitalTexas (statewide)$9,7520.6×12026-02-28
Mainehealth Stephens HospitalMaine (statewide)$84,6074.9×12025-09-09
Mainehealth Pen Bay HospitalMaine (statewide)$86,4305.0×12025-09-09
Samaritan Albany General HospitalOregon (statewide)$86,8374.5×12026-01-31
Northern Light Mercy HospitalMaine (statewide)$87,4844.9×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$87,4845.1×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$87,4845.1×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$87,4845.1×22026-03-30
Mainehealth Waldo HospitalMaine (statewide)$90,3555.2×12025-09-09
Northern Light Mayo HospitalMaine (statewide)$92,1405.3×22026-03-30
Parkview Regional Medical CenterIndiana (statewide)$98,1235.3×12026-09-01
Parkview HospitalTexas (statewide)$98,1235.6×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$109,9916.4×12025-09-09

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 483: Major Joint Or Limb Reattachment Procedures of Upper Extremities

1473 hospitals in 83 markets. National Medicare rate $20,170.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)21$22,580$27,587$30,114$18,572–$60,671
Alaska (statewide)4———$24,219–$84,253
Arizona (statewide)28$33,148$45,093$52,159$12,954–$64,281
Arkansas (statewide)10$23,858$25,818$27,825$19,631–$32,542
Atlanta GA9$45,983$52,346$55,101$45,983–$75,018
Austin TX11$17,816$30,330$31,137$17,367–$37,334
Boston MA14$23,160$25,640$33,313$19,657–$47,878
California (statewide)53$30,893$38,672$46,743$21,976–$119,976
Charlotte NC8$38,798$42,018$54,188$31,095–$54,188
Chicago IL10$32,126$37,282$42,920$24,201–$51,557
Cleveland OH11$34,848$38,352$42,628$34,282–$49,950
Colorado (statewide)16$34,268$48,454$64,096$16,983–$87,151
Columbus OH3———$56,342–$74,279
Connecticut (statewide)6$25,801$39,360$52,126$16,238–$72,843
Dallas-Fort Worth TX15$25,520$31,364$34,953$23,692–$61,616
Delaware (statewide)2———$30,938–$42,948
Denver CO15$25,842$27,402$55,057$22,537–$70,268
Detroit MI17$35,925$37,970$47,355$28,573–$52,822
Florida (statewide)89$24,890$27,855$51,508$16,282–$83,260
Georgia (statewide)43$35,890$52,153$62,710$21,535–$75,018
Hawaii (statewide)11$36,880$42,662$54,624$32,181–$60,498
Houston TX19$27,860$31,534$39,738$23,225–$59,274
Idaho (statewide)16$36,475$47,140$63,730$27,238–$66,595
Illinois (statewide)41$25,640$30,530$39,350$18,658–$59,956
Indiana (statewide)47$20,987$36,810$46,576$16,090–$60,982
Indianapolis IN6$15,419$33,317$59,812$15,260–$62,836
Iowa (statewide)18$24,615$29,394$37,464$21,563–$43,243
Kansas (statewide)23$21,636$24,803$35,531$11,745–$84,253
Kentucky (statewide)27$24,044$26,434$34,658$15,755–$58,774
Las Vegas NV2———$41,741–$52,651
Los Angeles CA18$39,133$46,912$49,618$35,865–$60,982
Louisiana (statewide)24$20,050$24,384$26,734$15,236–$35,204
Maine (statewide)13$51,721$75,168$83,811$21,372–$83,811
Maryland (statewide)1———$34,871–$34,871
Massachusetts (statewide)8$31,406$36,401$37,831$19,762–$45,749
Miami-Fort Lauderdale FL3———$26,888–$45,417
Michigan (statewide)38$29,783$36,184$41,085$17,329–$57,656
Minneapolis-St. Paul MN15$41,457$43,761$45,734$20,142–$52,288
Minnesota (statewide)21$35,371$35,371$43,761$15,218–$57,656
Mississippi (statewide)17$29,496$31,688$31,908$19,876–$45,922
Missouri (statewide)27$26,074$27,972$33,171$14,170–$61,616
Montana (statewide)7$17,191$37,435$49,330$12,164–$79,649
Nashville TN8$21,628$22,456$29,920$20,637–$48,925
Nebraska (statewide)15$43,444$45,470$53,616$29,832–$66,201
Nevada (statewide)4———$34,978–$55,051
New Hampshire (statewide)8$30,232$34,416$45,242$26,280–$65,195
New Jersey (statewide)21$42,920$49,758$58,167$24,606–$73,344
New Mexico (statewide)10$22,790$31,088$40,754$17,389–$76,730
New York (statewide)48$29,632$36,342$49,444$20,110–$83,446
New York City9$51,907$53,391$54,430$22,709–$84,683
North Carolina (statewide)29$25,176$32,060$54,188$15,758–$64,491
North Dakota (statewide)7$30,007$33,512$35,718$21,928–$46,008
Ohio (statewide)51$35,406$43,872$49,393$17,805–$69,941
Oklahoma (statewide)16$21,694$26,257$29,367$14,966–$47,321
Oregon (statewide)11$42,810$45,869$56,695$24,729–$69,941
Pennsylvania (statewide)60$27,022$37,111$46,442$18,849–$73,190
Philadelphia PA11$47,047$50,847$56,525$43,705–$73,730
Phoenix AZ11$46,138$46,138$47,942$40,473–$50,586
Pittsburgh PA7$28,729$30,771$33,894$26,962–$37,984
Portland OR9$54,306$59,038$66,347$51,248–$66,347
Research Triangle NC9$27,809$38,324$41,842$24,246–$42,768
Rhode Island (statewide)6$36,221$46,177$57,079$25,778–$60,020
Richmond VA7$28,998$59,441$64,902$25,926–$72,004
Rio Grande Valley TX6$28,400$31,440$33,741$25,376–$38,357
Salt Lake City UT9$41,931$41,931$41,931$41,514–$41,931
San Antonio TX3———$28,504–$49,371
San Diego CA7$31,484$35,146$41,844$31,484–$45,784
San Francisco Bay Area CA2———$32,678–$42,500
Seattle-Tacoma WA16$50,910$55,132$56,050$49,088–$72,307
South Carolina (statewide)30$47,530$56,588$61,209$19,614–$84,002
South Dakota (statewide)4———$30,491–$45,085
St. Louis MO7$33,942$33,942$33,942$14,164–$48,303
Tampa FL11$51,508$51,508$57,221$39,251–$61,478
Tennessee (statewide)31$22,253$25,251$29,227$20,135–$48,925
Texas (statewide)85$25,533$31,364$40,429$14,010–$66,251
Utah (statewide)6$38,394$49,365$58,523$20,333–$59,098
Vermont (statewide)3———$31,858–$70,420
Virginia (statewide)24$44,446$51,114$55,666$22,909–$95,431
Washington (statewide)12$42,864$50,007$56,950$32,743–$106,092
Washington DC11$38,902$49,978$51,880$21,972–$58,365
West Virginia (statewide)11$12,062$13,003$37,837$11,645–$66,764
Wisconsin (statewide)49$39,068$47,142$56,870$13,088–$66,673
Wyoming (statewide)2———$44,004–$55,199

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Weirton Medical Center, IncWest Virginia (statewide)$11,6450.6×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$11,6870.6×32026-07-09
Stormont Vail Health Flint Hills, LlcKansas (statewide)$11,7450.7×32025-12-19
Thomas Memorial HospitalWest Virginia (statewide)$12,0350.6×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$12,0880.6×32026-07-10
Mccone County Health CenterMontana (statewide)$12,1640.6×12026-01-01
Northern Cochise Community Hospital, Inc.Arizona (statewide)$12,9540.6×12026-07-29
Berkeley Medical CenterWest Virginia (statewide)$12,9650.7×32026-07-09
Wheeling Hospital, IncWest Virginia (statewide)$13,0030.7×32026-07-09
Thedacare Regional Medical Center - Appleton IncWisconsin (statewide)$13,0880.7×22026-08-07
Peterson Regional Medical CenterTexas (statewide)$14,0100.7×12026-08-17
Mercy Hospital SouthSt. Louis MO$14,1640.7×12026-06-10
Northern Light Sebasticook Valley HospitalMaine (statewide)$83,8114.3×32026-03-30
Cherokee Medical CenterSouth Carolina (statewide)$84,0024.6×42026-04-01
Providence Alaska Medical CenterAlaska (statewide)$84,2533.8×42026-04-01
Providence Medical CenterKansas (statewide)$84,2534.5×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$84,6833.4×92026-01-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$87,1514.2×42026-03-22
Carilion Roanoke Memorial HospitalVirginia (statewide)$87,8424.6×12025-12-15
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$89,5233.5×12026-03-12
Carilion New River Valley Medical CenterVirginia (statewide)$95,4315.0×12025-12-15
Providence Centralia HospitalWashington (statewide)$106,0924.8×22026-04-01
Loma Linda University Children'S HospitalCalifornia (statewide)$106,2354.1×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$119,9764.6×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for elbow replacement?

Across 875 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 24363, hospital outpatient is $22,017, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $16,811 to $35,828. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for elbow replacement?

Medicare's national hospital outpatient rate for CPT 24363 is $17,914 and its surgery-center rate is $13,753, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for elbow replacement?

Lowest medians: Jefferson County Hospital ($7,992), Unitypoint Health - Meriter ($8,650), Watertown Regional Medical Center ($8,828). Highest: Mainehealth Lincoln Hospital ($109,991), Parkview Hospital ($98,123), Parkview Regional Medical Center ($98,123). Coverage: every hospital whose price file we could read.