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Partial shoulder replacement in Pennsylvania: what insurers pay

Posted commercial rates at 85 Pennsylvania 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
Jefferson Lansdale Hospital Lansdale$7,9920.6×52026-09-15
Jefferson Abington Hospital Abington$7,9920.6×52026-09-15
Upmc East Monroeville$9,9610.8×22026-03-06
Thomas Jefferson University Hospital Philadelphia$10,2500.8×42026-09-15
Upmc Hamot Erie$11,5040.9×32026-03-06
Paoli Hospital Paoli$12,7261.0×22026-04-01
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,7961.0×22026-04-01
Lankenau Medical Center Wynnewood$12,7961.0×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$12,9981.0×12026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$13,7101.1×32026-09-21
Temple University Hospital Philadelphia$17,3341.3×92026-04-13
Jefferson Einstein Montgomery Hospital East Norriton$17,7341.4×62026-09-15
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Jefferson Health-Northeast Philadelphia$24,6141.9×52026-09-15
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
Forbes Hospital Monroeville$26,9212.1×62026-04-14
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
Wellspan Ephrata Community Hospital Ephrata$28,8492.3×22026-01-01
St Luke'S Hospital Bethlehem Bethlehem$31,3982.4×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$31,3982.5×32026-02-27
Lehigh Valley Hospital Allentown$31,7682.4×72026-07-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0752.6×22026-02-26
Allegheny General Hospital Pittsburgh$32,3862.6×62026-04-14
West Penn Hospital Pittsburgh$32,5372.6×62026-04-14
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$44,8283.4×22026-02-26
Lehigh Valley Hospital - Dickson City Dickson City$53,6944.3×82026-07-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Hazleton Hazleton$59,7224.8×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$62,0625.0×82026-07-01
Lehigh Valley Hospital - Macungie Macungie$69,8575.3×82026-07-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$18,8491.0×32026-08-06
Upmc Cole Coudersport$19,5201.0×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$19,9331.0×72026-07-01
Conemaugh Miners Medical Center Hastings$21,1961.1×52026-07-30
Punxsutawney Area Hospital Punxsutawney$22,9931.2×72026-03-02
Upmc Horizon Greenville$23,1351.2×32026-03-06
Upmc Northwest Seneca$23,3761.2×22026-03-06
Nazareth Hospital Philadelphia$23,7311.2×12026-03-31
Upmc Bedford Memorial Everett$23,7981.2×22026-03-06
Upmc Kane Kane$24,1481.3×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$24,3231.3×72026-07-30
Upmc Somerset Somerset$24,5241.3×42026-03-06
Titusville Area Hospital Titusville$25,4621.3×52026-09-11
Troy Community Hospital Troy$25,5721.3×52026-03-31
Upmc Jameson New Castle$26,0191.4×42026-03-06
Upmc Washington Washington$26,9621.4×72026-03-06
Uniontown Hospital Uniontown$27,3561.4×62026-07-09
Upmc East Monroeville$27,8521.4×22026-03-06
Upmc Hamot Erie$28,2041.5×32026-03-06
Upmc Mckeesport Mc Keesport$28,6511.5×22026-03-06
Upmc St Margaret Pittsburgh$29,6061.5×22026-03-06
Roxborough Memorial Hospital Philadelphia$30,2241.5×62024-06-21
Geisinger-Lewistown Hospital Lewistown$30,5801.6×72026-07-01
Upmc Mercy Pittsburgh$30,7711.6×22026-03-06
Upmc Passavant Pittsburgh$30,9651.6×22026-03-07
Conemaugh Memorial Medical Center Johnstown$31,2471.6×82026-04-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0261.7×52026-02-26
Wayne Memorial Hospital Honesdale$32,6761.7×62026-09-16
Lower Bucks Hospital Bristol$33,6261.8×62026-09-01
Holy Redeemer Hospital And Medical Center Meadowbrook$33,9061.8×62026-09-21
Temple Health - Chestnut Hill Hospital Philadelphia$34,6491.7×82026-04-08
Robert Packer Hospital Sayre$35,2951.8×72026-03-31
Upmc Altoona Altoona$35,9471.9×52026-03-06
Upmc Presbyterian Shadyside Pittsburgh$36,8221.9×22026-03-06
St Mary Medical Center Langhorne$36,8791.9×202026-03-31
St Luke'S Miners Memorial Hospital Coaldale$36,9951.9×42026-02-27
St Clair Hospital Pittsburgh$37,2271.9×72026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$37,9842.0×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$39,7532.1×62026-07-01
Jefferson Lansdale Hospital Lansdale$41,5772.2×92026-09-15
Upmc Williamsport Williamsport$41,8252.2×32026-03-06
Upmc Muncy Muncy$41,8252.2×32026-03-06
Upmc Wellsboro Wellsboro$41,8252.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$41,9642.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$41,9642.1×52026-02-27
Upmc Memorial York$43,1512.2×82026-03-06
Riddle Memorial Hospital Media$43,7052.1×42026-04-01
Geisinger St. Luke'S Hospital Orwigsburg$43,8582.3×42026-02-26
Lehigh Valley Hospital Allentown$44,2892.2×52026-07-01
Paoli Hospital Paoli$44,4302.3×42026-04-01
Upmc Lititz Lititz$44,4392.3×72026-03-06
St Luke'S Hospital - Easton Campus Easton$44,9452.2×42026-02-26
Hospital Of The Fox Chase Cancer Center Philadelphia$45,4852.2×52026-04-08
St Luke'S Hospital - Monroe Campus Stroudsburg$45,7532.4×52026-02-27
Jefferson Abington Hospital Abington$45,9222.4×92026-09-15
Bryn Mawr Hospital Bryn Mawr$48,1722.4×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$48,5082.4×72026-07-01
Wellspan Chambersburg Hospital Chambersburg$48,9162.5×32026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$49,8062.6×62026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$49,8062.6×62026-07-01
Upmc Carlisle Carlisle$50,0502.5×72026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$50,8472.6×62026-09-15
Temple University Hospital Philadelphia$51,4062.5×102026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$52,2482.6×42026-03-27
Penn State Health St. Joseph Reading$52,2482.6×42026-03-27
Penn State Health Hampden Medical Center Enola$52,2482.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$52,2482.7×42026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$54,2172.8×72026-07-01
Upmc Hanover Hanover$55,8932.9×72026-03-06
Lankenau Medical Center Wynnewood$55,9502.9×42026-04-01
Jefferson Health-Northeast Philadelphia$57,1002.8×62026-09-15
Geisinger Community Medical Center Scranton$57,3083.0×82026-07-01
Wellspan Ephrata Community Hospital Ephrata$58,1213.0×52026-01-01
Wellspan Surgery And Rehabilitation Hospital York$64,1983.3×42026-01-01
Wellspan York Hospital York$73,1903.8×42026-01-01
Thomas Jefferson University Hospital Philadelphia$73,7303.6×92026-09-15

Questions

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

85 Pennsylvania hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 38 hospitals is $26,625, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.