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Partial shoulder replacement in Illinois: what insurers pay

Posted commercial rates at 12 Illinois 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
Endeavor Health Evanston Hospital Evanston$8,1670.6×32026-04-01
Sarah Bush Lincoln Health Center Mattoon$13,4691.0×22026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$13,5591.0×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$15,4901.1×22026-04-01
Endeavor Health Edward Hospital Naperville$22,1641.6×12026-04-01
University of Chicago Medical Center Chicago$26,1201.9×22026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$22,0841.0×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$24,2011.1×32026-04-01
Endeavor Health Edward Hospital Naperville$27,9351.3×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$30,9791.5×32026-04-01
Endeavor Health Evanston Hospital Evanston$35,5671.7×32026-04-01
Alton Memorial Hospital Alton$36,6871.7×52025-12-15
Northwestern Medicine Central DuPage Hospital Winfield$36,8471.7×12026-04-01
Loyola University Medical Center Maywood$37,7171.8×42026-03-31
Rush University Medical Center Chicago$42,4472.0×42026-09-25
Advocate Christ Medical Center Oak Lawn$43,0782.0×42025-11-04
Advocate Lutheran General Hospital Park Ridge$43,0782.0×42025-11-04
University of Chicago Medical Center Chicago$51,5572.4×52026-04-01

Questions

How much do insurers pay for partial shoulder replacement in Illinois?

12 Illinois hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 6 hospitals is $14,525, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.