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Partial shoulder replacement in Massachusetts: what insurers pay

Posted commercial rates at 12 Massachusetts 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
Winchester Hospital Winchester$15,4571.0×22026-04-01
Beverly Hospital Corporation Beverly$17,7291.1×12026-04-01
New England Baptist Hospital Boston$20,3621.3×32026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$20,5461.3×12026-04-01
Anna Jaques Hospital Newburyport$20,8941.4×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$23,6581.5×12026-04-01
Beth Israel Deaconess Medical Center Boston$25,6801.7×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$19,6570.8×12026-05-18
Anna Jaques Hospital Newburyport$20,8230.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$21,4380.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$23,6331.0×12026-04-01
Mount Auburn Hospital Cambridge$24,5511.0×12026-04-01
Beverly Hospital Corporation Beverly$25,6401.1×12026-04-01
Winchester Hospital Winchester$25,6401.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$27,6031.1×22026-04-01
New England Baptist Hospital Boston$29,5481.2×32026-04-01
Lowell General Hospital Lowell$34,5681.4×32026-04-01
Tufts Medical Center Boston$35,0841.5×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$40,4001.7×42026-04-01

Questions

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

12 Massachusetts hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 7 hospitals is $20,546, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.