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Partial shoulder replacement in New York: what insurers pay

Posted commercial rates at 60 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
Maimonides Medical Center Brooklyn$12,2970.8×62026-04-01
Nassau University Medical Center East Meadow$15,6271.0×22025-10-28
St John'S Riverside Hospital Yonkers$15,9481.0×52026-03-27
Glens Falls Hospital Glens Falls$16,4441.0×32025-12-31
Oneida Health Oneida$17,0221.1×62026-09-27
Montefiore Mount Vernon Hospital Mount Vernon$18,6691.2×72026-04-01
Saratoga Hospital Saratoga Springs$18,8041.2×22025-12-31
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$19,6321.2×32026-09-05
Elmhurst Hospital Center Elmhurst$19,6321.2×32026-09-05
Metropolitan Hospital Center New York$19,6321.2×32026-09-05
Kings County Hospital Center Brooklyn$19,6321.2×32026-09-05
Bellevue Hospital Center New York$19,6321.2×32026-09-05
Queens Hospital Center Jamaica$19,6321.2×32026-09-05
Harlem Hospital Center New York$19,6321.2×32026-09-05
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$20,8141.3×52026-08-25
Albany Medical Center Hospital Albany$22,3821.4×12025-12-31
Columbia Memorial Hospital Hudson$22,8391.4×12025-12-31
Highland Hospital Rochester$23,0131.4×42026-07-01
Jacobi Medical Center Bronx$24,0391.5×42026-09-05
South Brooklyn Health Brooklyn$24,0391.5×42026-09-05
Garnet Health Medical Center Catskills Harris$24,3151.5×22026-04-01
Montefiore Medical Center Bronx$24,4701.5×112026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Jones Memorial Hospital Wellsville$27,5421.7×72026-01-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
Garnet Health Medical Center Middletown$30,4501.9×42026-04-01
Nicholas H Noyes Memorial Hospital Dansville$32,8382.0×62026-01-01
Roswell Park Cancer Institute Buffalo$33,5672.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$36,9582.3×92026-01-01
St James Hospital Hornell$37,5592.3×52026-01-01
Medina Memorial Hospital Medina$44,4712.8×22026-07-29
Hospital for Special Surgery New York$47,8523.0×142026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$20,1100.8×12026-01-01
Ira Davenport Memorial Hospital Bath$21,0410.8×12026-03-27
Corning Hospital Corning$22,5390.9×62026-03-31
Arnot Ogden Medical Center Elmira$22,5670.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$22,5670.9×22026-03-27
Montefiore Medical Center Bronx$22,7090.9×22026-04-01
St Charles Hospital Port Jefferson$23,8280.9×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$23,9440.9×42026-03-31
Geneva General Hospital Geneva$25,2161.0×32026-08-27
St James Hospital Hornell$25,5321.0×12026-01-01
Schuyler Hospital Montour Falls$26,5601.1×22026-03-27
Highland Hospital Rochester$26,7651.1×32026-07-01
Medina Memorial Hospital Medina$29,0161.2×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$29,8381.2×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$31,7291.3×32026-04-01
United Memorial Medical Center Batavia$31,9101.3×32026-04-01
Samaritan Medical Center Watertown$31,9421.3×42026-02-02
Bronxcare Hospital Center Bronx$31,9791.3×72026-05-05
Nassau University Medical Center East Meadow$32,2361.3×62025-10-28
St Joseph'S Medical Center Yonkers$32,8331.3×32026-07-13
Canton-Potsdam Hospital Potsdam$32,8391.3×32026-04-01
Unity Hospital Of Rochester Rochester$34,6491.4×32026-04-01
Unity Specialty Hospital Rochester$34,6491.4×32026-04-01
St John'S Riverside Hospital Yonkers$35,2041.4×62026-03-27
Rochester General Hospital Rochester$35,5401.4×32026-04-01
Newark-Wayne Community Hospital Newark$37,1431.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$38,9921.6×12026-01-01
Saratoga Hospital Saratoga Springs$41,1991.6×12025-12-31
Glens Falls Hospital Glens Falls$41,3781.6×22025-12-31
Flushing Hospital Medical Center Flushing$41,7401.7×82026-03-25
Wynn Hospital Utica$42,1021.7×52026-08-07
Jamaica Hospital Medical Center Jamaica$43,3801.7×82026-03-25
Columbia Memorial Hospital Hudson$45,0881.8×42025-12-31
Strong Memorial Hospital Rochester$47,2531.9×32026-07-01
Crouse Hospital Syracuse$47,5601.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$47,8151.9×62026-04-01
Sisters Of Charity Hospital Buffalo$48,7941.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$48,7941.9×72026-04-01
Stony Brook University Hospital Stony Brook$51,3922.0×12026-06-10
South Brooklyn Health Brooklyn$51,9072.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$51,9842.1×82026-09-05
Elmhurst Hospital Center Elmhurst$53,3912.1×82026-09-05
Hospital for Special Surgery New York$53,7802.1×132026-04-01
Jacobi Medical Center Bronx$54,4302.2×82026-09-05
Metropolitan Hospital Center New York$54,4302.2×82026-09-05
Queens Hospital Center Jamaica$54,4302.2×82026-09-05
Harlem Hospital Center New York$54,4302.2×82026-09-05
Kings County Hospital Center Brooklyn$55,1282.2×82026-09-05
Bellevue Hospital Center New York$55,1282.2×82026-09-05
Nathan Littauer Hospital Gloversville$56,7102.3×32026-03-04
Samaritan Hospital Troy$59,5602.4×52026-03-31
Albany Medical Center Hospital Albany$74,9603.0×32025-12-31
Garnet Health Medical Center Catskills Harris$75,0433.0×82026-04-01
Maimonides Medical Center Brooklyn$80,7433.2×82026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$81,7083.3×102026-04-01
Garnet Health Medical Center Middletown$83,4463.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$84,6833.4×92026-01-01

Questions

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

60 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 34 hospitals is $22,611, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.