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

Posted commercial rates at 47 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Abington Hospital Abington$8,4120.7×22026-09-15
Jefferson Lansdale Hospital Lansdale$9,1760.7×32026-09-15
Upmc Mercy Pittsburgh$9,4870.8×22026-03-06
Thomas Jefferson University Hospital Philadelphia$11,1000.8×32026-09-15
Paoli Hospital Paoli$12,3641.0×22026-04-01
Riddle Memorial Hospital Media$12,3640.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,4340.9×22026-04-01
Lankenau Medical Center Wynnewood$12,4341.0×22026-04-01
Wellspan Surgery And Rehabilitation Hospital York$12,4561.0×32026-01-01
Upmc East Monroeville$12,5321.0×12026-03-06
Upmc Mckeesport Mc Keesport$12,5831.0×12026-03-06
Upmc Altoona Altoona$12,7161.0×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$13,7101.1×32026-09-21
Temple University Hospital Philadelphia$16,8681.3×82026-04-13
St Luke'S Hospital - Monroe Campus Stroudsburg$17,6841.4×32026-02-27
Upmc Hamot Erie$18,3901.5×22026-03-06
Upmc Hanover Hanover$19,6671.6×32026-03-06
Upmc Carlisle Carlisle$19,6941.5×32026-03-06
Upmc Lititz Lititz$19,7731.6×32026-03-06
St Luke'S Miners Memorial Hospital Coaldale$20,9231.7×22026-02-27
Jefferson Einstein Montgomery Hospital East Norriton$22,4741.8×42026-09-15
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Lehigh Valley Hospital Allentown$23,6791.8×82026-07-01
Jefferson Health-Northeast Philadelphia$23,9871.8×42026-09-15
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
Forbes Hospital Monroeville$26,9212.1×62026-04-14
St Mary Medical Center Langhorne$28,1662.3×62026-03-31
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
Wellspan Ephrata Community Hospital Ephrata$28,3802.3×22026-01-01
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
St Luke'S Hospital Bethlehem Bethlehem$30,2132.3×22026-02-26
Allegheny General Hospital Pittsburgh$32,3862.6×62026-04-14
West Penn Hospital Pittsburgh$32,5372.6×62026-04-14
St Luke'S Hospital - Easton Campus Easton$37,9722.9×22026-02-26
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$45,3943.6×82026-07-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$45,5203.6×12026-02-26
Lehigh Valley Hospital - Pocono East Stroudsburg$51,4984.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$51,8514.2×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$52,2034.0×22026-01-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$59,0584.5×82026-07-01

Questions

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

47 Pennsylvania 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 47 hospitals is $23,679, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.