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Partial shoulder replacement in Washington: what insurers pay

Posted commercial rates at 30 Washington 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
Astria Toppenish Hospital Toppenish$13,4910.9×42026-04-01
Providence St Mary Medical Center Walla Walla$19,5631.4×62026-04-01
Legacy Salmon Creek Medical Center Vancouver$21,5531.5×72026-04-01
Providence Regional Medical Center Everett Everett$29,7992.1×72026-04-01
Swedish Issaquah Issaquah$33,8662.3×62026-04-01
Multicare Capital Medical Center Olympia$34,5882.4×92026-08-27
Overlake Hospital Medical Center Bellevue$35,6182.4×62026-04-01
St Elizabeth Hospital Enumclaw$35,9682.4×62026-02-28
Swedish Edmonds Hospital Edmonds$36,9312.6×62026-04-01
Providence Holy Family Hospital Spokane$37,3692.6×52026-04-01
Kadlec Regional Medical Center Richland$37,9512.6×42026-04-01
Multicare Valley Hospital Spokane$37,9562.6×62026-08-27
Multicare Deaconess Hospital Spokane$38,2662.7×52026-08-27
St Anne Hospital Burien$39,9082.7×72026-02-28
St Clare Hospital Lakewood$40,6702.7×82026-02-28
St Joseph Medical Center Tacoma$40,6702.7×82026-02-28
St Francis Community Hospital Federal Way$40,6702.7×82026-02-28
St Anthony Hospital Gig Harbor$41,3882.8×82026-02-28
Virginia Mason Medical Center Seattle$41,6352.8×62026-01-01
Multicare Auburn Medical Center Auburn$46,4983.1×82026-08-27
Tacoma General Allenmore Hospital Tacoma$46,4983.1×82026-08-27
Multicare Covington Medical Center Covington$46,4983.1×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$46,6743.1×62026-04-01
Swedish Medical Center Seattle$46,8933.1×62026-04-01
Multicare Good Samaritan Hospital Puyallup$54,5983.6×62026-08-27
St Michael Medical Center Bremerton$57,1123.9×32026-02-28
Providence Centralia Hospital Centralia$62,6044.4×42026-04-01
Mary Bridge Children'S Hospital Tacoma$68,7764.6×52026-08-27

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Providence St Mary Medical Center Walla Walla$32,7431.5×42026-04-01
Skagit Valley Hospital Mount Vernon$34,9141.6×42026-03-26
Confluence Health Hospital Wenatchee$42,1981.9×22026-04-21
Kadlec Regional Medical Center Richland$43,0861.9×32026-04-01
St Elizabeth Hospital Enumclaw$48,0842.1×72026-02-28
St Anne Hospital Burien$49,0882.1×82026-02-28
Multicare Capital Medical Center Olympia$49,6782.2×92026-08-27
St Clare Hospital Lakewood$49,7602.1×92026-02-28
St Joseph Medical Center Tacoma$49,7602.1×92026-02-28
St Francis Community Hospital Federal Way$49,7602.1×92026-02-28
Providence Holy Family Hospital Spokane$50,3362.3×62026-04-01
Swedish Edmonds Hospital Edmonds$51,2932.3×72026-04-01
Overlake Hospital Medical Center Bellevue$52,3962.3×72026-04-01
Multicare Valley Hospital Spokane$52,6072.4×82026-08-27
St Anthony Hospital Gig Harbor$53,7132.3×92026-02-28
Providence Regional Medical Center Everett Everett$54,8712.5×72026-04-01
Multicare Deaconess Hospital Spokane$55,0642.5×82026-08-27
Swedish Issaquah Issaquah$55,3922.4×62026-04-01
Multicare Auburn Medical Center Auburn$56,0172.4×92026-08-27
Tacoma General Allenmore Hospital Tacoma$56,0172.4×92026-08-27
Multicare Covington Medical Center Covington$56,0172.4×92026-08-27
Multicare Good Samaritan Hospital Puyallup$56,1472.4×92026-08-27
Legacy Salmon Creek Medical Center Vancouver$59,0382.7×62026-04-01
Virginia Mason Medical Center Seattle$59,3082.6×72026-01-01
St Michael Medical Center Bremerton$62,6092.7×32026-02-28
Mary Bridge Children'S Hospital Tacoma$70,5963.0×62026-08-27
Swedish Medical Center Seattle$71,2163.1×72026-04-01
Swedish Medical Center / Cherry Hill Seattle$72,3073.1×72026-04-01
Providence Centralia Hospital Centralia$106,0924.8×22026-04-01

Questions

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

30 Washington hospitals post usable commercial rates for partial shoulder replacement in their federal price-transparency files. For CPT 23470, hospital outpatient, the median across 28 hospitals is $40,289, 2.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.