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Partial shoulder replacement in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 23470

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $17,864 · local Medicare $16,026 · file 2026-04-01
1199SEIU	$22,105	1.4×	1
Aetna	$24,470	1.5×	2
Elevance/Anthem/Empire	$11,622	0.7×	7
EmblemHealth	$13,621	0.8×	6
Healthfirst	$13,622	0.8×	1
UnitedHealthcare	$27,952	1.7×	3
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $39,109 · local Medicare $16,026 · file 2026-01-01
1199SEIU	$46,323	2.9×	3
Aetna	$39,109	2.4×	24
BCBS (other)	$26,526	1.7×	16
Cigna	$46,959	2.9×	22
Elevance/Anthem/Empire	$26,526	1.7×	32
EmblemHealth	$42,813	2.7×	51
UnitedHealthcare	$34,807	2.2×	24
Hospital for Special Surgery median $46,383 · local Medicare $16,026 · file 2026-04-01
Aetna	$47,617	3.0×	17
BCBS (other)	$22,018	1.4×	3
Cigna	$48,087	3.0×	13
Elevance/Anthem/Empire	$22,723	1.4×	10
EmblemHealth	$45,149	2.8×	14
UnitedHealthcare	$73,337	4.6×	25

MS-DRG 483

Hospital · insurer	Rate	× Medicare	Plans
Montefiore Medical Center median $25,051 · local Medicare $25,087 · file 2026-04-01
EmblemHealth	$25,051	1.0×	1
Jamaica Hospital Medical Center median $45,140 · local Medicare $25,087 · file 2026-03-25
Aetna	$45,140	1.8×	4
Cigna	$45,304	1.8×	1
EmblemHealth	$41,523	1.7×	3
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $51,946 · local Medicare $25,087 · file 2026-09-05
1199SEIU	$36,536	1.5×	1
Aetna	$51,907	2.1×	1
Cigna	$54,430	2.2×	1
EmblemHealth	$55,128	2.2×	2
MultiPlan/PHCS (rental network)	$54,052	2.2×	1
Oscar	$51,984	2.1×	1
UnitedHealthcare	$43,710	1.7×	3
South Brooklyn Health median $51,946 · local Medicare $25,087 · file 2026-09-05
1199SEIU	$36,536	1.5×	1
Aetna	$51,907	2.1×	1
Cigna	$54,430	2.2×	1
EmblemHealth	$55,128	2.2×	2
MultiPlan/PHCS (rental network)	$58,276	2.3×	1
Oscar	$51,984	2.1×	1
UnitedHealthcare	$51,300	2.0×	3
Elmhurst Hospital Center median $52,688 · local Medicare $25,087 · file 2026-09-05
1199SEIU	$36,536	1.5×	1
Aetna	$51,907	2.1×	1
Cigna	$54,430	2.2×	1
EmblemHealth	$55,128	2.2×	2
MultiPlan/PHCS (rental network)	$74,157	3.0×	1
Oscar	$51,984	2.1×	1
UnitedHealthcare	$53,391	2.1×	4
Hospital for Special Surgery median $53,780 · local Medicare $25,087 · file 2026-04-01
Aetna	$53,780	2.1×	17
BCBS (other)	$42,512	1.7×	2
Cigna	$51,546	2.1×	13
EmblemHealth	$79,386	3.2×	14
UnitedHealthcare	$73,337	2.9×	25
Jacobi Medical Center median $54,779 · local Medicare $25,087 · file 2026-09-05
1199SEIU	$36,536	1.5×	1
Aetna	$65,162	2.6×	1
Cigna	$54,430	2.2×	1
EmblemHealth	$55,128	2.2×	2
MultiPlan/PHCS (rental network)	$74,852	3.0×	1
Oscar	$51,984	2.1×	1
UnitedHealthcare	$77,145	3.1×	3
Maimonides Medical Center median $80,289 · local Medicare $25,087 · file 2026-04-01
1199SEIU	$47,641	1.9×	1
Aetna	$80,823	3.2×	3
Cigna	$79,836	3.2×	3
Elevance/Anthem/Empire	$85,422	3.4×	2
EmblemHealth	$79,578	3.2×	3
UnitedHealthcare	$80,742	3.2×	7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $88,959 · local Medicare $25,087 · file 2026-01-01
1199SEIU	$88,959	3.5×	3
Aetna	$72,302	2.9×	24
BCBS (other)	$114,421	4.6×	25
Cigna	$80,407	3.2×	22
Elevance/Anthem/Empire	$114,421	4.6×	57
EmblemHealth	$69,949	2.8×	51
UnitedHealthcare	$105,887	4.2×	46

Questions

How much does partial shoulder replacement cost with commercial insurance in New York City?

3 New York City hospitals post usable commercial rates for CPT 23470, hospital outpatient. The median across hospitals is $39,109; hospital medians range from $17,864 to $46,383. Your cost depends on your plan's deductible and coinsurance.