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Partial shoulder replacement in Austin TX

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 23470

Hospital · insurer	Rate	× Medicare	Plans
Ascension Seton Medical Center Austin median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Dell Seton Med Center At The University Of Tx median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Ascension Seton Southwest median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Ascension Seton Northwest median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Cedar Park Regional Medical Center median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Ascension Seton Hays median $11,425 · local Medicare $12,897 · file 2026-01-01
BCBS TX	$11,425	0.9×	4
Baylor Scott & White Medical Center- Austin median $18,378 · local Medicare $12,897 · file 2026-06-13
Baylor Scott & White Health Plan	$18,378	1.4×	2
Humana	$15,811	1.2×	1
Mark Cuban	$32,604	2.5×	1
Baylor Scott & White Medical Center ? Pflugerville median $18,830 · local Medicare $12,897 · file 2026-06-13
BCBS TX	$21,659	1.7×	3
Baylor Scott & White Health Plan	$18,378	1.4×	2
Humana	$15,811	1.2×	1
Mark Cuban	$32,604	2.5×	1
Sedgwick	$19,281	1.5×	1
UnitedHealthcare	$17,641	1.4×	1
Scott & White Hospital-Round Rock median $19,281 · local Medicare $12,897 · file 2026-06-13
BCBS TX	$21,659	1.7×	3
Baylor Scott & White Health Plan	$18,378	1.4×	2
Humana	$15,811	1.2×	1
Injury Management Organization	$19,281	1.5×	1
Mark Cuban	$32,604	2.5×	1
Sedgwick	$19,281	1.5×	1
UnitedHealthcare	$17,641	1.4×	1
St David's Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01
BCBS TX	$43,438	3.4×	5
Cigna	$22,138	1.7×	5
Curative Administrators	$23,981	1.9×	1
Evry Health	$21,995	1.7×	1
Harbor Health Team	$24,150	1.9×	1
Healthcare Highways (rental network)	$12,153	0.9×	2
Humana	$14,000	1.1×	2
MODA Health	$25,356	2.0×	2
Moda	$16,566	1.3×	1
Nomi Health	$21,800	1.7×	3
Oscar	$15,275	1.2×	5
Shared Health	$16,766	1.3×	1
UnitedHealthcare	$21,234	1.6×	3
St David's South Austin Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01
BCBS TX	$43,438	3.4×	5
Cigna	$22,138	1.7×	5
Curative Administrators	$23,981	1.9×	1
Evry Health	$21,995	1.7×	1
Harbor Health Team	$24,150	1.9×	1
Healthcare Highways (rental network)	$12,153	0.9×	2
Humana	$14,000	1.1×	2
MODA Health	$25,356	2.0×	2
Moda	$16,566	1.3×	1
Nomi Health	$21,800	1.7×	3
Oscar	$15,275	1.2×	5
Shared Health	$16,766	1.3×	1
UnitedHealthcare	$21,234	1.6×	3
Round Rock Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01
BCBS TX	$43,438	3.4×	5
Cigna	$22,138	1.7×	5
Curative Administrators	$23,981	1.9×	1
Evry Health	$21,995	1.7×	1
Harbor Health Team	$24,150	1.9×	1
Healthcare Highways (rental network)	$12,153	0.9×	2
Humana	$14,000	1.1×	2
MODA Health	$25,356	2.0×	2
Moda	$16,566	1.3×	1
Nomi Health	$21,800	1.7×	3
Oscar	$15,275	1.2×	5
Shared Health	$16,766	1.3×	1
UnitedHealthcare	$21,234	1.6×	3
North Austin Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01
BCBS TX	$43,438	3.4×	5
Cigna	$22,138	1.7×	5
Curative Administrators	$23,981	1.9×	1
Evry Health	$21,995	1.7×	1
Harbor Health Team	$24,150	1.9×	1
Healthcare Highways (rental network)	$12,153	0.9×	2
Humana	$14,000	1.1×	2
MODA Health	$25,356	2.0×	2
Moda	$16,566	1.3×	1
Nomi Health	$21,800	1.7×	3
Oscar	$15,275	1.2×	5
Shared Health	$16,766	1.3×	1
UnitedHealthcare	$21,234	1.6×	3

MS-DRG 483

Hospital · insurer	Rate	× Medicare	Plans
Ascension Seton Southwest median $17,367 · local Medicare $19,819 · file 2026-01-01
Addr Cancer Together	$17,367	0.9×	1
Covid Hrsa	$17,367	0.9×	1
Cshcn Cidc	$17,367	0.9×	1
Occunet	$24,314	1.2×	1
Sendero Chap	$17,193	0.9×	1
Sendero Idealcare	$30,392	1.5×	1
Smarthealth	$17,367	0.9×	1
Tx Independence Hp	$18,235	0.9×	1
Ascension Seton Hays median $17,484 · local Medicare $19,819 · file 2026-01-01
Addr Cancer Together	$17,484	0.9×	1
Covid Hrsa	$17,484	0.9×	1
Cshcn Cidc	$17,484	0.9×	1
Occunet	$24,478	1.2×	1
Sendero Chap	$17,309	0.9×	1
Sendero Idealcare	$30,597	1.5×	1
Smarthealth	$17,484	0.9×	1
Tx Independence Hp	$18,358	0.9×	1
Ascension Seton Northwest median $17,585 · local Medicare $19,819 · file 2026-01-01
Addr Cancer Together	$17,585	0.9×	1
Covid Hrsa	$17,585	0.9×	1
Cshcn Cidc	$17,585	0.9×	1
Occunet	$24,619	1.2×	1
Sendero Chap	$17,409	0.9×	1
Sendero Idealcare	$30,774	1.6×	1
Smarthealth	$17,585	0.9×	1
Tx Independence Hp	$18,465	0.9×	1
Ascension Seton Medical Center Austin median $18,048 · local Medicare $19,819 · file 2026-01-01
Addr Cancer Together	$18,048	0.9×	1
Covid Hrsa	$18,048	0.9×	1
Occunet	$25,268	1.3×	1
Sendero Chap	$17,868	0.9×	1
Sendero Idealcare	$31,585	1.6×	1
Smarthealth	$18,048	0.9×	1
Tx Independence Hp	$18,951	1.0×	1
UnitedHealthcare	$18,048	0.9×	1
Round Rock Medical Center median $28,945 · local Medicare $19,819 · file 2026-09-01
Aetna	$22,298	1.1×	1
American Health Plan of Texas	$23,049	1.2×	2
BCBS TX	$45,145	2.3×	7
Cigna	$31,198	1.6×	5
Covenant Management Systems	$49,570	2.5×	1
Curative Administrators	$37,831	1.9×	1
Evry Health	$38,186	1.9×	1
Harbor Health Team	$36,520	1.8×	1
Healthcare Highways (rental network)	$34,804	1.8×	2
Humana	$21,601	1.1×	4
Imperial Insurance	$22,727	1.1×	1
MODA Health	$37,518	1.9×	2
Moda	$20,667	1.0×	1
Nomi Health	$34,441	1.7×	3
Oscar	$23,719	1.2×	5
Sendero	$28,945	1.5×	5
Shared Health	$25,729	1.3×	1
UnitedHealthcare	$14,088	0.7×	2
Vista 360	$33,637	1.7×	1
Wesleyan Homes	$21,440	1.1×	1
St David's Medical Center median $30,330 · local Medicare $19,819 · file 2026-09-01
Aetna	$22,261	1.1×	1
American Health Plan of Texas	$23,461	1.2×	2
BCBS TX	$45,145	2.3×	7
Cigna	$31,198	1.6×	5
Covenant Management Systems	$49,570	2.5×	1
Curative Administrators	$37,831	1.9×	1
Evry Health	$38,186	1.9×	1
Harbor Health Team	$36,520	1.8×	1
Healthcare Highways (rental network)	$34,804	1.8×	2
Humana	$21,770	1.1×	4
Imperial Insurance	$23,134	1.2×	1
MODA Health	$37,518	1.9×	2
Moda	$20,667	1.0×	1
Nomi Health	$34,441	1.7×	3
Oscar	$23,719	1.2×	5
Sendero	$29,462	1.5×	5
Seven Corners	$33,827	1.7×	1
Shared Health	$26,189	1.3×	1
UnitedHealthcare	$14,088	0.7×	2
Vista 360	$33,637	1.7×	1
Wesleyan Homes	$21,824	1.1×	1
Scott & White Hospital-Round Rock median $30,579 · local Medicare $19,819 · file 2026-06-13
Aetna	$36,700	1.9×	1
BCBS TX	$37,967	1.9×	3
Baylor Scott & White Health Plan	$30,579	1.5×	4
BlueBell Creameries	$15,245	0.8×	1
Cigna	$25,906	1.3×	2
HealthSmart (rental network)	$40,148	2.0×	1
Humana	$50,127	2.5×	1
Injury Management Organization	$28,087	1.4×	1
Mark Cuban	$50,383	2.5×	1
Sedgwick	$28,087	1.4×	1
UnitedHealthcare	$49,894	2.5×	1
University of Mary Hardin-Baylor	$25,452	1.3×	1
North Austin Medical Center median $31,050 · local Medicare $19,819 · file 2026-09-01
Aetna	$24,493	1.2×	1
American Health Plan of Texas	$24,608	1.2×	2
BCBS TX	$45,145	2.3×	7
Cigna	$31,198	1.6×	5
Covenant Management Systems	$49,570	2.5×	1
Curative Administrators	$37,831	1.9×	1
Evry Health	$38,186	1.9×	1
Harbor Health Team	$36,520	1.8×	1
Healthcare Highways (rental network)	$34,804	1.8×	2
Humana	$23,406	1.2×	4
Imperial Insurance	$24,264	1.2×	1
MODA Health	$37,518	1.9×	2
Moda	$20,667	1.0×	1
Nomi Health	$34,441	1.7×	3
Oscar	$23,719	1.2×	5
Sendero	$30,903	1.6×	5
Seven Corners	$35,481	1.8×	1
Shared Health	$27,469	1.4×	1
UnitedHealthcare	$14,088	0.7×	2
Vista 360	$33,637	1.7×	1
Wesleyan Homes	$22,891	1.2×	1
St David's South Austin Medical Center median $31,224 · local Medicare $19,819 · file 2026-09-01
Aetna	$24,306	1.2×	1
American Health Plan of Texas	$24,884	1.3×	2
BCBS TX	$45,145	2.3×	7
Cigna	$31,198	1.6×	5
Covenant Management Systems	$49,570	2.5×	1
Curative Administrators	$37,831	1.9×	1
Evry Health	$38,186	1.9×	1
Harbor Health Team	$36,520	1.8×	1
Healthcare Highways (rental network)	$34,804	1.8×	2
Humana	$23,438	1.2×	4
Imperial Insurance	$24,537	1.2×	1
MODA Health	$37,518	1.9×	2
Moda	$20,667	1.0×	1
Nomi Health	$34,441	1.7×	3
Oscar	$23,719	1.2×	5
Sendero	$31,250	1.6×	5
Seven Corners	$35,880	1.8×	1
Shared Health	$27,778	1.4×	1
UnitedHealthcare	$14,088	0.7×	2
Vista 360	$33,637	1.7×	1
Wesleyan Homes	$23,148	1.2×	1
Baylor Scott & White Medical Center ? Pflugerville median $36,700 · local Medicare $19,819 · file 2026-06-13
Aetna	$36,700	1.9×	1
BCBS TX	$37,967	1.9×	3
Baylor Scott & White Health Plan	$30,579	1.5×	4
Cigna	$20,726	1.0×	2
HealthSmart (rental network)	$40,148	2.0×	1
Humana	$50,127	2.5×	1
Mark Cuban	$50,383	2.5×	1
Sedgwick	$25,157	1.3×	1
UnitedHealthcare	$49,894	2.5×	1
University of Mary Hardin-Baylor	$25,452	1.3×	1
Baylor Scott & White Medical Center- Austin median $37,334 · local Medicare $19,819 · file 2026-06-13
Aetna	$36,700	1.9×	1
BCBS TX	$37,967	1.9×	3
Baylor Scott & White Health Plan	$30,579	1.5×	4
Cigna	$20,726	1.0×	2
Humana	$50,127	2.5×	1
Mark Cuban	$50,383	2.5×	1
UnitedHealthcare	$49,894	2.5×	1
University of Mary Hardin-Baylor	$25,452	1.3×	1

Questions

How much does partial shoulder replacement cost with commercial insurance in Austin TX?

13 Austin TX hospitals post usable commercial rates for CPT 23470, hospital outpatient. The median across hospitals is $18,378; hospital medians range from $11,425 to $21,898. Your cost depends on your plan's deductible and coinsurance.