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

Posted commercial rates at 5 Virginia hospitals, each next to its own Medicare base rate.

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CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Reston Hospital Center Reston$10,9150.8×32026-09-01
Stonesprings Hospital Center Dulles$10,9150.8×32026-09-01
Inova Alexandria Hospital Alexandria$12,9491.0×32026-04-01
Henrico Doctors' Hospital Richmond$12,9591.0×32026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$12,9921.0×32026-09-01

Questions

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

5 Virginia 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 5 hospitals is $12,949, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.