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

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

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CPT 29823

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$5,0311.6×12026-03-06
Riddle Memorial Hospital Media$5,4011.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,7601.7×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1722.7×32026-09-15

CPT 29822

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$5,4011.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,7601.7×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1722.7×32026-09-15

Questions

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

4 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 4 hospitals is $5,581, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.