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Upper arm (shoulder) fracture fixation in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 23615

Hospital · insurerRate× MedicarePlans
Hospital for Special Surgery median $12,386 · local Medicare $16,026 · file 2026-04-01
Aetna$12,5110.8×17
BCBS (other)$11,8790.7×3
Cigna$12,2450.8×13
Elevance/Anthem/Empire$12,2600.8×10
EmblemHealth$12,5430.8×14
UnitedHealthcare$19,6891.2×25
Montefiore Medical Center median $12,916 · local Medicare $16,026 · file 2026-04-01
Aetna$24,4701.5×2
Cigna$9,0320.6×2
Elevance/Anthem/Empire$11,6220.7×7
EmblemHealth$12,2110.8×6
Healthfirst$13,6220.8×1
UnitedHealthcare$21,9081.4×3
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $23,928 · local Medicare $16,026 · file 2026-01-01
1199SEIU$8,5390.5×3
Aetna$21,3311.3×24
BCBS (other)$26,5261.7×16
Elevance/Anthem/Empire$26,5261.7×32
EmblemHealth$42,8132.7×51
UnitedHealthcare$18,1601.1×24

Questions

How much does upper arm (shoulder) fracture fixation cost with commercial insurance in New York City?

3 New York City hospitals post usable commercial rates for CPT 23615, hospital outpatient. The median across hospitals is $12,916; hospital medians range from $12,386 to $23,928. Your cost depends on your plan's deductible and coinsurance.