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Shoulder arthroscopy, clean-out in Pennsylvania: what insurers pay

Posted commercial rates at 57 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 29823

HospitalMedian across insurers× MedicareInsurersFile date
St Mary Medical Center Langhorne$2,7220.8×202026-03-31
Upmc Northwest Seneca$2,7960.9×22026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,8590.9×22026-03-06
Upmc St Margaret Pittsburgh$2,8600.9×12026-03-06
Upmc Cole Coudersport$2,9300.9×12026-03-06
Upmc East Monroeville$3,0100.9×22026-03-06
Upmc Altoona Altoona$3,0390.9×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$3,3621.0×72026-04-08
Upmc Hamot Erie$3,4401.1×42026-03-06
Wayne Memorial Hospital Honesdale$3,5141.1×12026-09-16
Saint Vincent Hospital Erie$4,3801.4×72026-04-14
Temple University Hospital Philadelphia$4,9041.5×102026-04-13
Holy Redeemer Hospital And Medical Center Meadowbrook$4,9211.5×52026-09-21
Upmc Presbyterian Shadyside Pittsburgh$5,0311.6×12026-03-06
Riddle Memorial Hospital Media$5,4011.6×22026-04-01
Upmc Washington Washington$5,5301.7×42026-03-06
Paoli Hospital Paoli$5,6801.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,7601.7×22026-04-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$5,7781.8×32026-02-26
Lankenau Medical Center Wynnewood$5,8361.8×22026-04-01
Jefferson Hospital Jefferson Hills$5,8821.9×62026-04-14
Grove City Hospital Grove City$5,9021.9×62026-04-14
Forbes Hospital Monroeville$5,9781.9×72026-04-14
Jefferson Lansdale Hospital Lansdale$6,1361.9×52026-09-15
Jefferson Abington Hospital Abington$6,1361.9×52026-09-15
Upmc Carlisle Carlisle$6,4131.9×32026-03-06
Upmc Lititz Lititz$6,4132.0×32026-03-06
Upmc Hanover Hanover$6,4132.0×32026-03-06
Allegheny Valley Hospital Natrona$6,5882.1×62026-04-14
Canonsburg General Hospital Canonsburg$6,6062.1×62026-04-14
Ahn Wexford Hospital Wexford$7,1062.2×62026-04-14
Wellspan Evangelical Community Hospital Lewisburg$7,2162.3×62026-01-01
Jefferson Einstein Montgomery Hospital East Norriton$7,3062.3×62026-09-15
St Clair Hospital Pittsburgh$7,3132.3×72026-03-31
Jefferson Health-Northeast Philadelphia$7,4302.2×62026-09-15
Allegheny General Hospital Pittsburgh$8,1662.6×62026-04-14
West Penn Hospital Pittsburgh$8,2052.6×62026-04-14
St Luke'S Miners Memorial Hospital Coaldale$8,2092.6×32026-02-27
St Luke'S Hospital - Monroe Campus Stroudsburg$8,2092.6×32026-02-27
Wellspan Surgery And Rehabilitation Hospital York$8,6452.7×42026-01-01
St Luke'S Hospital - Carbon Campus Lehighton$9,0712.7×32026-02-27
Thomas Jefferson University Hospital Philadelphia$9,3042.8×42026-09-15
Upmc Memorial York$10,5193.3×52026-03-06
St Luke'S Hospital Bethlehem Bethlehem$10,7783.2×32026-02-26
Penn State Health Hampden Medical Center Enola$10,9343.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,0543.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$11,2263.5×12026-03-27
Wellspan Ephrata Community Hospital Ephrata$12,0063.8×32026-01-01
Wellspan Chambersburg Hospital Chambersburg$12,4943.8×22026-01-01
St Luke'S Hospital - Easton Campus Easton$13,9604.2×22026-02-26
Penn State Health St. Joseph Reading$14,4704.3×12026-03-27

CPT 29822

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Mercy Pittsburgh$1,9360.6×22026-03-06
Conemaugh Memorial Medical Center Johnstown$2,1470.7×12026-04-15
Upmc Kane Kane$2,2520.7×22026-03-06
Upmc Horizon Greenville$2,5020.8×22026-03-06
Upmc Cole Coudersport$2,6730.8×12026-03-06
Upmc Northwest Seneca$2,7960.9×22026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$2,8620.9×22026-03-06
Upmc East Monroeville$3,0100.9×22026-03-06
Upmc Altoona Altoona$3,0491.0×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$3,3621.0×72026-04-08
Upmc Hamot Erie$3,4461.1×42026-03-06
Wayne Memorial Hospital Honesdale$3,5141.1×12026-09-16
Jefferson Lansdale Hospital Lansdale$4,0961.3×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$4,1081.3×52026-09-21
Upmc Somerset Somerset$4,1761.3×22026-03-06
St Mary Medical Center Langhorne$4,2261.3×202026-03-31
Saint Vincent Hospital Erie$4,3801.4×72026-04-14
Temple University Hospital Philadelphia$4,9041.5×102026-04-13
Riddle Memorial Hospital Media$5,4011.6×22026-04-01
Upmc Washington Washington$5,5301.7×42026-03-06
Forbes Hospital Monroeville$5,6191.8×72026-04-14
Paoli Hospital Paoli$5,6801.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,7601.7×22026-04-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$5,7781.8×32026-02-26
Lankenau Medical Center Wynnewood$5,8361.8×22026-04-01
Jefferson Hospital Jefferson Hills$5,8821.9×62026-04-14
Grove City Hospital Grove City$5,9021.9×62026-04-14
Jefferson Abington Hospital Abington$6,0111.9×52026-09-15
Uniontown Hospital Uniontown$6,0681.9×42026-07-09
Upmc Carlisle Carlisle$6,4131.9×32026-03-06
Upmc Lititz Lititz$6,4132.0×32026-03-06
Upmc Hanover Hanover$6,4132.0×32026-03-06
Allegheny Valley Hospital Natrona$6,5882.1×62026-04-14
Canonsburg General Hospital Canonsburg$6,6062.1×62026-04-14
Wellspan Surgery And Rehabilitation Hospital York$6,9162.2×32026-01-01
Upmc Memorial York$7,0742.2×52026-03-06
Ahn Wexford Hospital Wexford$7,1062.2×62026-04-14
Jefferson Einstein Montgomery Hospital East Norriton$7,3062.3×62026-09-15
St Clair Hospital Pittsburgh$7,3132.3×72026-03-31
Jefferson Health-Northeast Philadelphia$7,4302.2×62026-09-15
Allegheny General Hospital Pittsburgh$8,1662.6×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$8,1952.5×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$8,1952.6×32026-02-27
West Penn Hospital Pittsburgh$8,2052.6×62026-04-14
St Luke'S Hospital - Carbon Campus Lehighton$8,2092.5×32026-02-27
Thomas Jefferson University Hospital Philadelphia$9,3042.8×42026-09-15
Penn State Health Hampden Medical Center Enola$10,9343.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,0543.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$11,2263.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$11,4433.4×22026-02-26
Penn State Health St. Joseph Reading$14,4704.3×12026-03-27

Questions

How much do insurers pay for shoulder arthroscopy, clean-out in Pennsylvania?

57 Pennsylvania hospitals post usable commercial rates for shoulder arthroscopy, clean-out in their federal price-transparency files. For CPT 29823, hospital outpatient, the median across 51 hospitals is $6,413, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.