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Partial shoulder replacement in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23470

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$9,6280.6×22026-09-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$50,3992.1×32026-09-01
Medstar Washington Hospital Center Washington$58,3652.5×52026-04-01
Medstar Georgetown University Hospital Washington$65,6332.8×42026-04-01

Questions

How much do insurers pay for partial shoulder replacement in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 1 hospital is $9,628, 0.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.