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Partial shoulder replacement in North Carolina: what insurers pay

Posted commercial rates at 47 North Carolina hospitals, each next to its own Medicare base rate.

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CPT 23470

HospitalMedian across insurers× MedicareInsurersFile date
Novant Health New Hanover Regional Medical Center Wilmington$11,8320.9×32026-03-30
Highlands Cashiers Hospital Highlands$14,0001.1×12026-09-01
Transylvania Regional Hospital, Inc Brevard$14,0001.1×12026-09-01
Angel Medical Center Franklin$14,0001.1×12026-09-01
Blue Ridge Regional Hospital Spruce Pine$14,0001.1×12026-09-01
Atrium Health Lincoln Lincolnton$15,0891.2×12025-12-01
Atrium Health Cabarrus Concord$15,2971.2×12025-12-01
Atrium Health Pineville Charlotte$15,2971.2×12025-12-05
Atrium Health Union Monroe$15,2971.2×12025-12-04
Atrium Health University City Charlotte$15,2971.2×12025-12-05
Caromont Regional Medical Center Gastonia$29,5002.4×42026-05-11

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$15,7580.8×12026-04-01
Ecu Health North Hospital Roanoke Rapids$21,4171.1×12026-04-01
Rutherford Regional Medical Center Rutherfordton$21,5371.1×32026-07-10
Caldwell Memorial Hospital Lenoir$22,3171.2×52026-04-01
Maria Parham Medical Center Henderson$22,9511.2×32026-07-30
Sampson Regional Medical Center Clinton$23,0681.2×32026-05-07
North Carolina Specialty Hospital Durham$24,2461.2×22026-02-25
Harris Regional Hospital Sylva$24,7231.3×32026-07-10
Angel Medical Center Franklin$25,1761.3×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$25,3741.4×22026-09-01
UNC Rex Hospital Raleigh$25,8221.3×42026-04-01
Ecu Health Bertie Hospital Windsor$26,1241.4×22026-04-01
Transylvania Regional Hospital, Inc Brevard$27,2891.4×22026-09-01
UNC Health Johnston Smithfield$27,8091.4×42026-04-01
Highlands Cashiers Hospital Highlands$28,4281.5×22026-09-01
The Outer Banks Hospital, Inc Nags Head$28,9791.5×22026-04-01
Ecu Health Medical Center Greenville$30,6291.6×32026-04-01
Lake Norman Regional Medical Center Mooresville$31,0951.6×52026-04-01
Swain County Hospital Bryson City$32,0601.7×32026-07-30
UNC Hospitals (Chapel Hill) Chapel Hill$33,8911.7×72026-04-01
Atrium Health Stanly Albemarle$35,6021.9×12026-09-15
Atrium Health University City Charlotte$37,1901.9×22025-12-05
Duke Regional Hospital Durham$38,3241.9×32026-04-01
Atrium Health Union Monroe$39,3342.0×22025-12-04
Atrium Health Cleveland Shelby$40,3882.1×22025-12-01
Atrium Health Cabarrus Concord$41,7702.2×22025-12-01
WakeMed Raleigh Campus Raleigh$41,8422.1×42026-02-11
WakeMed Cary Hospital Cary$41,8422.1×42026-02-11
Novant Health New Hanover Regional Medical Center Wilmington$41,9252.1×52026-03-30
Adventhealth Hendersonville Hendersonville$42,2142.2×22026-04-01
Atrium Health Pineville Charlotte$42,2662.2×22025-12-05
Duke University Hospital Durham$42,7682.2×32026-04-01
Duke Raleigh Hospital Raleigh$42,7682.1×32026-04-01
Novant Health Brunswick Medical Center Supply$45,8282.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$54,1882.8×32026-03-31
Novant Health Matthews Medical Center Matthews$54,1882.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$54,1882.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$54,1882.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$54,1882.8×32026-03-30
Caromont Regional Medical Center Gastonia$54,5942.9×82026-05-11
Unc Health Wayne Goldsboro$55,4082.9×22026-04-01
Novant Health Thomasville Medical Center Thomasville$55,4882.9×22026-03-31
Cape Fear Valley Hoke Hospital Raeford$62,2193.2×12026-03-30
Cape Fear Valley Medical Center Fayetteville$63,4493.2×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$64,4913.4×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$64,4913.4×32026-03-30

Questions

How much do insurers pay for partial shoulder replacement in North Carolina?

47 North Carolina hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 11 hospitals is $15,089, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.