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Upper arm (shoulder) fracture fixation in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Hospital for Special Surgery New York$12,3860.8×62026-04-01
Montefiore Medical Center Bronx$12,9160.8×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$23,9281.5×62026-01-01

Questions

How much do insurers pay for upper arm (shoulder) fracture fixation in New York?

3 New York hospitals post usable commercial rates for upper arm (shoulder) fracture fixation in their federal price-transparency files. For CPT 23615, hospital outpatient, the median across 3 hospitals is $12,916, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.