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

Posted commercial rates at 8 Texas hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Methodist Hospital San Antonio$8,7240.7×52026-09-01
Baylor University Medical Center Dallas$9,1260.7×32026-06-29
St David's Medical Center Austin$9,7800.8×42026-09-01
Medical City Mckinney McKinney$9,9790.8×62026-09-01
Medical City Plano Plano$10,5510.8×62026-09-01
Ascension Seton Medical Center Austin Austin$11,4250.9×12026-01-01
Houston Methodist Hospital Houston$15,5461.2×32026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$41,1203.2×22026-04-21

Questions

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

8 Texas 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 8 hospitals is $10,265, 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.