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

Posted commercial rates at 30 Virginia 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
Spotsylvania Regional Medical Center Fredericksburg$8,4030.6×32026-09-01
Reston Hospital Center Reston$9,2660.7×52026-09-01
Stonesprings Hospital Center Dulles$9,2660.7×52026-09-01
Tricities Hospital Hopewell$10,7230.9×42026-09-01
Henrico Doctors' Hospital Richmond$10,9800.9×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$10,9960.9×42026-09-01
Sentara Northern Virginia Medical Center Woodbridge$11,6400.9×32026-04-01
Lewisgale Hospital Pulaski Pulaski$11,8980.9×32026-09-01
Inova Alexandria Hospital Alexandria$12,1810.9×42026-04-01
Inova Loudoun Hospital Leesburg$12,1810.9×42026-04-01
Inova Fair Oaks Hospital Fairfax$12,1810.9×42026-04-01
Inova Mount Vernon Hospital Alexandria$12,1810.9×42026-04-01
Inova Fairfax Hospital Falls Church$12,2830.9×42026-04-01
Lewisgale Hospital Alleghany Low Moor$15,9741.3×32026-09-01
Lewisgale Hospital Montgomery Blacksburg$16,0011.3×32026-09-01
Lewisgale Medical Center Salem$18,5401.5×22026-09-01
Augusta Health Fishersville$23,0701.8×32026-04-01
Sentara Obici Hospital Suffolk$26,2442.1×32026-04-01
Sentara Leigh Hospital Norfolk$26,2442.1×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$26,2442.1×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$26,4112.1×32026-04-01
Sentara Norfolk General Hospital Norfolk$26,5372.1×32026-04-01
Sentara Martha Jefferson Hospital Charlottesville$27,9942.2×22026-04-01
Sentara Careplex Hospital Hampton$34,1462.7×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$35,8902.9×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$37,9333.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$38,2763.1×12026-01-02
Sentara Rmh Medical Center Harrisonburg$39,5033.1×12026-04-01
Riverside Regional Medical Center Newport News$41,1463.3×12026-01-02
Sentara Halifax Regional Hospital South Boston$43,5113.5×12026-04-01

Questions

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

30 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 30 hospitals is $17,271, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.