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Partial shoulder replacement in New York: what insurers pay

Posted commercial rates at 10 New York 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
Montefiore Medical Center Bronx$17,8641.1×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$39,1092.4×72026-01-01
Hospital for Special Surgery New York$46,3832.9×62026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$25,0511.0×12026-04-01
Jamaica Hospital Medical Center Jamaica$45,1401.8×32026-03-25
Stony Brook University Hospital Stony Brook$51,3922.0×12026-06-10
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$51,9462.1×72026-09-05
South Brooklyn Health Brooklyn$51,9462.1×72026-09-05
Elmhurst Hospital Center Elmhurst$52,6882.1×72026-09-05
Hospital for Special Surgery New York$53,7802.1×52026-04-01
Jacobi Medical Center Bronx$54,7792.2×72026-09-05
Maimonides Medical Center Brooklyn$80,2893.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$88,9593.5×72026-01-01

Questions

How much do insurers pay for partial shoulder replacement in New York?

10 New York hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 3 hospitals is $39,109, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.