Price AtlasInteractive atlas · All states · techysurgeon.comPartial shoulder replacement: what insurers pay
Only the ball of the shoulder is replaced (hemiarthroplasty), often for a fracture. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 23470: Partial Shoulder Replacement
945 hospitals in 77 markets. National Medicare rate $13,117, surgery center $9,694.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $13,926 | $15,649 | $21,722 | $11,523–$29,754 |
| Alaska (statewide) | 3 | — | — | — | $20,940–$24,009 |
| Arizona (statewide) | 5 | $8,924 | $9,174 | $11,452 | $8,493–$17,690 |
| Arkansas (statewide) | 3 | — | — | — | $8,200–$11,599 |
| Atlanta GA | 6 | $9,486 | $9,486 | $14,904 | $9,486–$16,710 |
| Austin TX | 13 | $11,425 | $18,378 | $21,898 | $11,425–$21,898 |
| Boston MA | 10 | $19,151 | $20,492 | $21,126 | $12,052–$23,062 |
| California (statewide) | 52 | $18,232 | $36,279 | $48,690 | $9,909–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 7 | $14,524 | $22,164 | $26,966 | $8,167–$27,813 |
| Cleveland OH | 10 | $12,970 | $13,440 | $20,509 | $10,660–$25,507 |
| Colorado (statewide) | 12 | $12,831 | $16,871 | $18,138 | $10,974–$23,415 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 1 | — | — | — | $53,492–$53,492 |
| Dallas-Fort Worth TX | 12 | $18,853 | $21,949 | $24,401 | $18,830–$39,785 |
| Denver CO | 15 | $14,869 | $20,490 | $23,010 | $9,943–$23,415 |
| Detroit MI | 13 | $11,877 | $14,682 | $14,682 | $7,029–$23,340 |
| Florida (statewide) | 58 | $16,732 | $22,833 | $30,065 | $7,150–$41,514 |
| Georgia (statewide) | 24 | $11,779 | $16,710 | $24,656 | $5,681–$37,095 |
| Hawaii (statewide) | 3 | — | — | — | $14,926–$20,992 |
| Houston TX | 19 | $17,439 | $24,271 | $24,271 | $12,856–$24,505 |
| Idaho (statewide) | 9 | $13,048 | $30,155 | $32,682 | $10,890–$39,877 |
| Illinois (statewide) | 23 | $13,628 | $18,271 | $27,813 | $10,496–$38,226 |
| Indiana (statewide) | 22 | $21,224 | $28,830 | $36,352 | $12,867–$49,858 |
| Indianapolis IN | 1 | — | — | — | $24,738–$24,738 |
| Iowa (statewide) | 12 | $21,287 | $23,790 | $28,030 | $11,688–$35,136 |
| Kansas (statewide) | 13 | $16,324 | $17,483 | $22,430 | $11,200–$26,366 |
| Kentucky (statewide) | 11 | $16,507 | $22,036 | $24,740 | $7,505–$36,354 |
| Las Vegas NV | 2 | — | — | — | $7,907–$19,560 |
| Los Angeles CA | 17 | $16,300 | $17,698 | $29,274 | $13,890–$41,579 |
| Louisiana (statewide) | 24 | $11,879 | $13,540 | $17,461 | $9,014–$24,903 |
| Maine (statewide) | 15 | $54,291 | $60,472 | $61,208 | $44,941–$76,956 |
| Massachusetts (statewide) | 3 | — | — | — | $15,964–$19,110 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $24,023–$24,023 |
| Michigan (statewide) | 18 | $12,793 | $19,071 | $19,175 | $7,176–$25,886 |
| Minneapolis-St. Paul MN | 6 | $9,280 | $10,721 | $10,942 | $8,874–$27,696 |
| Minnesota (statewide) | 12 | $19,072 | $35,445 | $42,956 | $10,942–$58,164 |
| Mississippi (statewide) | 11 | $14,368 | $15,520 | $17,650 | $7,992–$35,014 |
| Missouri (statewide) | 12 | $19,345 | $23,222 | $25,858 | $6,897–$38,731 |
| Montana (statewide) | 4 | — | — | — | $21,846–$42,576 |
| Nashville TN | 8 | $24,613 | $24,658 | $25,425 | $24,343–$27,964 |
| Nebraska (statewide) | 9 | $11,688 | $11,688 | $14,010 | $7,907–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $7,907–$16,755 |
| New Hampshire (statewide) | 6 | $30,546 | $31,871 | $40,883 | $17,409–$57,492 |
| New Jersey (statewide) | 20 | $13,104 | $14,427 | $15,790 | $11,774–$26,235 |
| New Mexico (statewide) | 6 | $17,203 | $34,532 | $42,743 | $9,607–$55,239 |
| New York (statewide) | 26 | $19,632 | $21,598 | $27,531 | $15,627–$44,471 |
| New York City | 8 | $19,632 | $24,039 | $27,592 | $12,297–$47,852 |
| North Carolina (statewide) | 6 | $14,000 | $14,000 | $14,000 | $11,832–$29,500 |
| North Dakota (statewide) | 5 | $19,812 | $22,259 | $23,240 | $16,908–$30,070 |
| Ohio (statewide) | 35 | $16,642 | $21,916 | $29,214 | $10,256–$49,348 |
| Oklahoma (statewide) | 9 | $19,421 | $24,065 | $26,424 | $11,458–$63,227 |
| Oregon (statewide) | 7 | $32,949 | $38,984 | $50,546 | $27,710–$61,050 |
| Pennsylvania (statewide) | 22 | $26,920 | $31,922 | $44,633 | $7,992–$69,857 |
| Philadelphia PA | 11 | $11,488 | $12,796 | $15,104 | $7,992–$24,614 |
| Phoenix AZ | 6 | $11,452 | $11,452 | $11,452 | $11,452–$11,452 |
| Pittsburgh PA | 7 | $18,162 | $26,129 | $27,549 | $9,961–$32,386 |
| Portland OR | 9 | $26,100 | $26,100 | $50,741 | $21,553–$50,741 |
| Rhode Island (statewide) | 3 | — | — | — | $25,553–$30,087 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 6 | $15,029 | $16,606 | $17,172 | $12,534–$17,326 |
| Salt Lake City UT | 9 | $26,473 | $27,376 | $27,376 | $11,982–$28,279 |
| San Antonio TX | 3 | — | — | — | $18,424–$22,412 |
| San Diego CA | 3 | — | — | — | $24,191–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $13,784–$46,334 |
| Seattle-Tacoma WA | 16 | $39,164 | $41,029 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 18 | $21,698 | $23,710 | $32,119 | $14,582–$36,135 |
| South Dakota (statewide) | 2 | — | — | — | $20,401–$23,319 |
| Tampa FL | 6 | $16,732 | $16,732 | $16,732 | $15,638–$20,226 |
| Tennessee (statewide) | 22 | $12,405 | $22,735 | $24,616 | $9,554–$27,758 |
| Texas (statewide) | 68 | $13,645 | $19,497 | $23,759 | $7,505–$46,675 |
| Utah (statewide) | 6 | $13,788 | $22,840 | $26,473 | $11,982–$27,376 |
| Virginia (statewide) | 19 | $33,132 | $36,158 | $39,024 | $12,301–$49,978 |
| Washington (statewide) | 11 | $35,278 | $37,951 | $47,689 | $13,491–$68,776 |
| Washington DC | 9 | $23,898 | $23,898 | $28,520 | $11,384–$30,552 |
| West Virginia (statewide) | 4 | — | — | — | $14,282–$85,473 |
| Wisconsin (statewide) | 31 | $17,846 | $17,900 | $23,950 | $8,650–$36,695 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,138 | 0.5× | 2 | 2025-11-19 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 0.5× | 1 | 2026-04-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $7,029 | 0.6× | 1 | 2026-01-01 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Oaklawn Hospital | Michigan (statewide) | $7,176 | 0.6× | 2 | 2026-03-27 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $7,306 | 0.7× | 2 | 2026-04-01 |
| Uf Health Leesburg Hospital | Florida (statewide) | $7,316 | 0.6× | 1 | 2026-03-31 |
| Saint Joseph Hospital | Kentucky (statewide) | $7,505 | 0.6× | 2 | 2026-02-28 |
| Chi St Joseph Health Regional Hospital | Texas (statewide) | $7,505 | 0.6× | 2 | 2026-02-28 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Lehigh Valley Hospital - Pocono | Pennsylvania (statewide) | $62,062 | 5.0× | 8 | 2026-07-01 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Mangum Regional Medical Center | Oklahoma (statewide) | $63,227 | 5.1× | 5 | 2026-09-23 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $68,776 | 4.6× | 5 | 2026-08-27 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $69,857 | 5.3× | 8 | 2026-07-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 483: Major Joint Or Limb Reattachment Procedures of Upper Extremities
1473 hospitals in 83 markets. National Medicare rate $20,170.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $22,580 | $27,587 | $30,114 | $18,572–$60,671 |
| Alaska (statewide) | 4 | — | — | — | $24,219–$84,253 |
| Arizona (statewide) | 28 | $33,148 | $45,093 | $52,159 | $12,954–$64,281 |
| Arkansas (statewide) | 10 | $23,858 | $25,818 | $27,825 | $19,631–$32,542 |
| Atlanta GA | 9 | $45,983 | $52,346 | $55,101 | $45,983–$75,018 |
| Austin TX | 11 | $17,816 | $30,330 | $31,137 | $17,367–$37,334 |
| Boston MA | 14 | $23,160 | $25,640 | $33,313 | $19,657–$47,878 |
| California (statewide) | 53 | $30,893 | $38,672 | $46,743 | $21,976–$119,976 |
| Charlotte NC | 8 | $38,798 | $42,018 | $54,188 | $31,095–$54,188 |
| Chicago IL | 10 | $32,126 | $37,282 | $42,920 | $24,201–$51,557 |
| Cleveland OH | 11 | $34,848 | $38,352 | $42,628 | $34,282–$49,950 |
| Colorado (statewide) | 16 | $34,268 | $48,454 | $64,096 | $16,983–$87,151 |
| Columbus OH | 3 | — | — | — | $56,342–$74,279 |
| Connecticut (statewide) | 6 | $25,801 | $39,360 | $52,126 | $16,238–$72,843 |
| Dallas-Fort Worth TX | 15 | $25,520 | $31,364 | $34,953 | $23,692–$61,616 |
| Delaware (statewide) | 2 | — | — | — | $30,938–$42,948 |
| Denver CO | 15 | $25,842 | $27,402 | $55,057 | $22,537–$70,268 |
| Detroit MI | 17 | $35,925 | $37,970 | $47,355 | $28,573–$52,822 |
| Florida (statewide) | 89 | $24,890 | $27,855 | $51,508 | $16,282–$83,260 |
| Georgia (statewide) | 43 | $35,890 | $52,153 | $62,710 | $21,535–$75,018 |
| Hawaii (statewide) | 11 | $36,880 | $42,662 | $54,624 | $32,181–$60,498 |
| Houston TX | 19 | $27,860 | $31,534 | $39,738 | $23,225–$59,274 |
| Idaho (statewide) | 16 | $36,475 | $47,140 | $63,730 | $27,238–$66,595 |
| Illinois (statewide) | 41 | $25,640 | $30,530 | $39,350 | $18,658–$59,956 |
| Indiana (statewide) | 47 | $20,987 | $36,810 | $46,576 | $16,090–$60,982 |
| Indianapolis IN | 6 | $15,419 | $33,317 | $59,812 | $15,260–$62,836 |
| Iowa (statewide) | 18 | $24,615 | $29,394 | $37,464 | $21,563–$43,243 |
| Kansas (statewide) | 23 | $21,636 | $24,803 | $35,531 | $11,745–$84,253 |
| Kentucky (statewide) | 27 | $24,044 | $26,434 | $34,658 | $15,755–$58,774 |
| Las Vegas NV | 2 | — | — | — | $41,741–$52,651 |
| Los Angeles CA | 18 | $39,133 | $46,912 | $49,618 | $35,865–$60,982 |
| Louisiana (statewide) | 24 | $20,050 | $24,384 | $26,734 | $15,236–$35,204 |
| Maine (statewide) | 13 | $51,721 | $75,168 | $83,811 | $21,372–$83,811 |
| Maryland (statewide) | 1 | — | — | — | $34,871–$34,871 |
| Massachusetts (statewide) | 8 | $31,406 | $36,401 | $37,831 | $19,762–$45,749 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $26,888–$45,417 |
| Michigan (statewide) | 38 | $29,783 | $36,184 | $41,085 | $17,329–$57,656 |
| Minneapolis-St. Paul MN | 15 | $41,457 | $43,761 | $45,734 | $20,142–$52,288 |
| Minnesota (statewide) | 21 | $35,371 | $35,371 | $43,761 | $15,218–$57,656 |
| Mississippi (statewide) | 17 | $29,496 | $31,688 | $31,908 | $19,876–$45,922 |
| Missouri (statewide) | 27 | $26,074 | $27,972 | $33,171 | $14,170–$61,616 |
| Montana (statewide) | 7 | $17,191 | $37,435 | $49,330 | $12,164–$79,649 |
| Nashville TN | 8 | $21,628 | $22,456 | $29,920 | $20,637–$48,925 |
| Nebraska (statewide) | 15 | $43,444 | $45,470 | $53,616 | $29,832–$66,201 |
| Nevada (statewide) | 4 | — | — | — | $34,978–$55,051 |
| New Hampshire (statewide) | 8 | $30,232 | $34,416 | $45,242 | $26,280–$65,195 |
| New Jersey (statewide) | 21 | $42,920 | $49,758 | $58,167 | $24,606–$73,344 |
| New Mexico (statewide) | 10 | $22,790 | $31,088 | $40,754 | $17,389–$76,730 |
| New York (statewide) | 48 | $29,632 | $36,342 | $49,444 | $20,110–$83,446 |
| New York City | 9 | $51,907 | $53,391 | $54,430 | $22,709–$84,683 |
| North Carolina (statewide) | 29 | $25,176 | $32,060 | $54,188 | $15,758–$64,491 |
| North Dakota (statewide) | 7 | $30,007 | $33,512 | $35,718 | $21,928–$46,008 |
| Ohio (statewide) | 51 | $35,406 | $43,872 | $49,393 | $17,805–$69,941 |
| Oklahoma (statewide) | 16 | $21,694 | $26,257 | $29,367 | $14,966–$47,321 |
| Oregon (statewide) | 11 | $42,810 | $45,869 | $56,695 | $24,729–$69,941 |
| Pennsylvania (statewide) | 60 | $27,022 | $37,111 | $46,442 | $18,849–$73,190 |
| Philadelphia PA | 11 | $47,047 | $50,847 | $56,525 | $43,705–$73,730 |
| Phoenix AZ | 11 | $46,138 | $46,138 | $47,942 | $40,473–$50,586 |
| Pittsburgh PA | 7 | $28,729 | $30,771 | $33,894 | $26,962–$37,984 |
| Portland OR | 9 | $54,306 | $59,038 | $66,347 | $51,248–$66,347 |
| Research Triangle NC | 9 | $27,809 | $38,324 | $41,842 | $24,246–$42,768 |
| Rhode Island (statewide) | 6 | $36,221 | $46,177 | $57,079 | $25,778–$60,020 |
| Richmond VA | 7 | $28,998 | $59,441 | $64,902 | $25,926–$72,004 |
| Rio Grande Valley TX | 6 | $28,400 | $31,440 | $33,741 | $25,376–$38,357 |
| Salt Lake City UT | 9 | $41,931 | $41,931 | $41,931 | $41,514–$41,931 |
| San Antonio TX | 3 | — | — | — | $28,504–$49,371 |
| San Diego CA | 7 | $31,484 | $35,146 | $41,844 | $31,484–$45,784 |
| San Francisco Bay Area CA | 2 | — | — | — | $32,678–$42,500 |
| Seattle-Tacoma WA | 16 | $50,910 | $55,132 | $56,050 | $49,088–$72,307 |
| South Carolina (statewide) | 30 | $47,530 | $56,588 | $61,209 | $19,614–$84,002 |
| South Dakota (statewide) | 4 | — | — | — | $30,491–$45,085 |
| St. Louis MO | 7 | $33,942 | $33,942 | $33,942 | $14,164–$48,303 |
| Tampa FL | 11 | $51,508 | $51,508 | $57,221 | $39,251–$61,478 |
| Tennessee (statewide) | 31 | $22,253 | $25,251 | $29,227 | $20,135–$48,925 |
| Texas (statewide) | 85 | $25,533 | $31,364 | $40,429 | $14,010–$66,251 |
| Utah (statewide) | 6 | $38,394 | $49,365 | $58,523 | $20,333–$59,098 |
| Vermont (statewide) | 3 | — | — | — | $31,858–$70,420 |
| Virginia (statewide) | 24 | $44,446 | $51,114 | $55,666 | $22,909–$95,431 |
| Washington (statewide) | 12 | $42,864 | $50,007 | $56,950 | $32,743–$106,092 |
| Washington DC | 11 | $38,902 | $49,978 | $51,880 | $21,972–$58,365 |
| West Virginia (statewide) | 11 | $12,062 | $13,003 | $37,837 | $11,645–$66,764 |
| Wisconsin (statewide) | 49 | $39,068 | $47,142 | $56,870 | $13,088–$66,673 |
| Wyoming (statewide) | 2 | — | — | — | $44,004–$55,199 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Weirton Medical Center, Inc | West Virginia (statewide) | $11,645 | 0.6× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $11,687 | 0.6× | 3 | 2026-07-09 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $11,745 | 0.7× | 3 | 2025-12-19 |
| Thomas Memorial Hospital | West Virginia (statewide) | $12,035 | 0.6× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $12,088 | 0.6× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $12,164 | 0.6× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $12,954 | 0.6× | 1 | 2026-07-29 |
| Berkeley Medical Center | West Virginia (statewide) | $12,965 | 0.7× | 3 | 2026-07-09 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $13,003 | 0.7× | 3 | 2026-07-09 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Peterson Regional Medical Center | Texas (statewide) | $14,010 | 0.7× | 1 | 2026-08-17 |
| Mercy Hospital South | St. Louis MO | $14,164 | 0.7× | 1 | 2026-06-10 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $83,811 | 4.3× | 3 | 2026-03-30 |
| Cherokee Medical Center | South Carolina (statewide) | $84,002 | 4.6× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $84,253 | 3.8× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $84,253 | 4.5× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $84,683 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $87,151 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $87,842 | 4.6× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $89,523 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $95,431 | 5.0× | 1 | 2025-12-15 |
| Providence Centralia Hospital | Washington (statewide) | $106,092 | 4.8× | 2 | 2026-04-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $106,235 | 4.1× | 2 | 2026-09-02 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $119,976 | 4.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for partial shoulder replacement?
Across 945 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 23470, hospital outpatient is $20,894, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $15,115 to $28,517. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for partial shoulder replacement?
Medicare's national hospital outpatient rate for CPT 23470 is $13,117 and its surgery-center rate is $9,694, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for partial shoulder replacement?
Lowest medians: Atrium Health Navicent Peach ($5,681), Atrium Health Navicent The Medical Center ($6,138), Boone Hospital Center ($6,897). Highest: Logan Regional Medical Center ($85,473), Mainehealth Lincoln Hospital ($76,956), Lehigh Valley Hospital - Macungie ($69,857). Coverage: every hospital whose price file we could read.