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

Posted commercial rates at 4 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Mon Health Medical Center Morgantown$12,3041.0×12026-04-10
Cabell Huntington Hospital, Inc Huntington$14,2821.2×12026-01-01
St Mary'S Medical Center Huntington$52,0924.2×22026-01-01
Logan Regional Medical Center Logan$85,4736.9×12026-04-01

Questions

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

4 West 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 4 hospitals is $33,187, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.