Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement: what insurers pay
Total or reverse total shoulder replacement. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 23472: Shoulder Replacement
1062 hospitals in 77 markets. National Medicare rate $17,914, surgery center $13,912.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $16,500 | $17,504 | $24,498 | $13,036–$33,036 |
| Alaska (statewide) | 4 | — | — | — | $9,906–$28,228 |
| Arizona (statewide) | 11 | $16,383 | $19,600 | $22,360 | $12,306–$28,012 |
| Arkansas (statewide) | 7 | $11,103 | $16,477 | $19,354 | $8,200–$25,419 |
| Atlanta GA | 6 | $9,378 | $9,378 | $28,400 | $9,378–$35,140 |
| Austin TX | 13 | $9,036 | $22,066 | $22,066 | $9,036–$26,333 |
| Boston MA | 10 | $18,091 | $19,302 | $21,039 | $15,068–$24,348 |
| California (statewide) | 55 | $24,869 | $34,391 | $61,926 | $11,435–$69,590 |
| Charlotte NC | 5 | $21,863 | $21,863 | $21,863 | $21,566–$21,863 |
| Chicago IL | 8 | $23,808 | $27,813 | $29,327 | $15,457–$30,270 |
| Cleveland OH | 10 | $16,796 | $17,832 | $26,714 | $11,426–$34,836 |
| Colorado (statewide) | 12 | $15,848 | $16,746 | $20,068 | $11,190–$23,367 |
| Columbus OH | 2 | — | — | — | $63,065–$63,065 |
| Connecticut (statewide) | 1 | — | — | — | $73,054–$73,054 |
| Dallas-Fort Worth TX | 12 | $24,401 | $24,611 | $25,716 | $19,497–$45,280 |
| Denver CO | 15 | $18,276 | $20,975 | $22,986 | $12,858–$23,367 |
| Detroit MI | 9 | $19,312 | $21,997 | $30,368 | $11,318–$34,068 |
| Florida (statewide) | 58 | $27,085 | $29,415 | $31,583 | $9,927–$40,029 |
| Georgia (statewide) | 24 | $24,022 | $27,548 | $34,756 | $9,378–$41,826 |
| Hawaii (statewide) | 4 | — | — | — | $17,815–$21,262 |
| Houston TX | 19 | $18,266 | $24,271 | $25,490 | $12,856–$33,466 |
| Idaho (statewide) | 15 | $19,586 | $19,603 | $40,142 | $8,676–$56,465 |
| Illinois (statewide) | 22 | $22,464 | $26,383 | $36,081 | $17,114–$54,635 |
| Indiana (statewide) | 36 | $26,103 | $32,696 | $42,902 | $10,136–$68,662 |
| Indianapolis IN | 3 | — | — | — | $27,238–$78,687 |
| Iowa (statewide) | 20 | $18,736 | $24,938 | $39,031 | $11,688–$53,209 |
| Kansas (statewide) | 14 | $16,126 | $19,070 | $25,378 | $9,978–$48,140 |
| Kentucky (statewide) | 12 | $22,301 | $28,335 | $33,636 | $9,056–$36,354 |
| Las Vegas NV | 2 | — | — | — | $31,368–$32,722 |
| Los Angeles CA | 15 | $18,657 | $20,662 | $28,190 | $16,688–$48,711 |
| Louisiana (statewide) | 24 | $14,940 | $16,719 | $17,730 | $8,695–$26,817 |
| Maine (statewide) | 17 | $75,354 | $84,607 | $87,484 | $18,568–$109,991 |
| Massachusetts (statewide) | 4 | — | — | — | $10,845–$22,954 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $26,356–$26,356 |
| Michigan (statewide) | 24 | $18,744 | $20,150 | $21,617 | $9,802–$34,697 |
| Minneapolis-St. Paul MN | 6 | $22,440 | $22,440 | $35,299 | $22,218–$42,066 |
| Minnesota (statewide) | 13 | $22,440 | $49,397 | $59,956 | $19,546–$82,360 |
| Mississippi (statewide) | 15 | $17,847 | $18,547 | $26,452 | $14,368–$31,517 |
| Missouri (statewide) | 14 | $22,805 | $24,930 | $29,286 | $9,157–$49,085 |
| Montana (statewide) | 4 | — | — | — | $21,846–$42,576 |
| Nashville TN | 8 | $24,613 | $24,658 | $28,400 | $24,343–$39,967 |
| Nebraska (statewide) | 11 | $11,688 | $14,010 | $20,904 | $11,688–$25,908 |
| Nevada (statewide) | 3 | — | — | — | $25,852–$40,955 |
| New Hampshire (statewide) | 6 | $30,546 | $31,871 | $54,913 | $22,684–$78,517 |
| New Jersey (statewide) | 14 | $19,884 | $21,027 | $28,963 | $12,874–$35,829 |
| New Mexico (statewide) | 9 | $19,406 | $23,238 | $34,546 | $11,792–$122,518 |
| New York (statewide) | 31 | $23,962 | $32,643 | $37,640 | $16,281–$54,718 |
| New York City | 8 | $26,932 | $30,064 | $33,863 | $21,792–$48,189 |
| North Carolina (statewide) | 10 | $14,000 | $14,436 | $22,564 | $13,082–$43,428 |
| North Dakota (statewide) | 12 | $19,532 | $19,532 | $25,910 | $18,267–$42,579 |
| Ohio (statewide) | 36 | $24,065 | $35,827 | $38,902 | $10,949–$67,394 |
| Oklahoma (statewide) | 9 | $24,065 | $34,941 | $36,864 | $19,421–$59,340 |
| Oregon (statewide) | 10 | $45,389 | $47,093 | $54,150 | $27,710–$74,150 |
| Pennsylvania (statewide) | 34 | $22,368 | $31,398 | $41,181 | $14,655–$77,539 |
| Philadelphia PA | 9 | $16,382 | $16,478 | $17,787 | $12,874–$21,748 |
| Phoenix AZ | 8 | $23,562 | $28,012 | $28,012 | $10,213–$28,012 |
| Pittsburgh PA | 11 | $14,908 | $31,340 | $37,911 | $9,824–$46,288 |
| Portland OR | 9 | $18,960 | $18,960 | $50,741 | $17,983–$50,741 |
| Rhode Island (statewide) | 4 | — | — | — | $11,296–$36,183 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 6 | $22,470 | $22,786 | $22,870 | $16,232–$24,538 |
| Salt Lake City UT | 9 | $31,894 | $32,982 | $32,982 | $16,966–$34,069 |
| San Antonio TX | 3 | — | — | — | $25,239–$28,492 |
| San Diego CA | 7 | $39,150 | $39,465 | $39,465 | $33,827–$41,585 |
| San Francisco Bay Area CA | 4 | — | — | — | $13,547–$41,632 |
| Seattle-Tacoma WA | 16 | $52,562 | $54,754 | $62,058 | $41,533–$69,623 |
| South Carolina (statewide) | 25 | $21,502 | $21,927 | $24,862 | $13,546–$30,328 |
| South Dakota (statewide) | 4 | — | — | — | $20,229–$66,187 |
| Tampa FL | 6 | $19,612 | $19,612 | $19,612 | $15,638–$24,884 |
| Tennessee (statewide) | 26 | $17,609 | $23,546 | $24,746 | $14,160–$39,672 |
| Texas (statewide) | 68 | $19,497 | $22,138 | $25,716 | $9,036–$68,341 |
| Utah (statewide) | 7 | $20,686 | $31,894 | $32,438 | $16,966–$49,713 |
| Virginia (statewide) | 17 | $31,406 | $43,946 | $46,138 | $25,072–$59,423 |
| Washington (statewide) | 13 | $20,549 | $51,289 | $54,184 | $11,994–$97,386 |
| Washington DC | 9 | $27,718 | $27,718 | $28,520 | $11,403–$31,328 |
| West Virginia (statewide) | 5 | $24,236 | $29,290 | $56,997 | $20,413–$74,454 |
| Wisconsin (statewide) | 35 | $16,716 | $20,120 | $22,742 | $8,650–$45,638 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Bradley County Medical Center | Arkansas (statewide) | $8,200 | 0.5× | 1 | 2026-04-08 |
| Unitypoint Health - Meriter | Wisconsin (statewide) | $8,650 | 0.5× | 1 | 2026-01-28 |
| North Canyon Medical Center | Idaho (statewide) | $8,676 | 0.5× | 5 | 2026-04-13 |
| St James Parish Hospital | Louisiana (statewide) | $8,695 | 0.5× | 2 | 2026-04-01 |
| Watertown Regional Medical Center | Wisconsin (statewide) | $9,004 | 0.5× | 1 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $9,036 | 0.5× | 1 | 2026-01-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,036 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Southwest | Austin TX | $9,036 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Northwest | Austin TX | $9,036 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,036 | 0.5× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,036 | 0.5× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,036 | 0.5× | 1 | 2026-01-01 |
| Sanford Bemidji Medical Center | Minnesota (statewide) | $82,360 | 4.5× | 1 | 2026-03-04 |
| Mainehealth Stephens Hospital | Maine (statewide) | $84,607 | 4.9× | 1 | 2025-09-09 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $86,430 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mercy Hospital | Maine (statewide) | $87,484 | 4.9× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $87,484 | 5.1× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $87,484 | 5.1× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $87,484 | 5.1× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $90,355 | 5.2× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $92,140 | 5.3× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $97,386 | 4.8× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $109,991 | 6.4× | 1 | 2025-09-09 |
| Memorial Medical Center | New Mexico (statewide) | $122,518 | 7.1× | 1 | 2026-07-10 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 483: Major Joint Or Limb Reattachment Procedures of Upper Extremities
1473 hospitals in 83 markets. National Medicare rate $20,170.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $22,580 | $27,587 | $30,114 | $18,572–$60,671 |
| Alaska (statewide) | 4 | — | — | — | $24,219–$84,253 |
| Arizona (statewide) | 28 | $33,148 | $45,093 | $52,159 | $12,954–$64,281 |
| Arkansas (statewide) | 10 | $23,858 | $25,818 | $27,825 | $19,631–$32,542 |
| Atlanta GA | 9 | $45,983 | $52,346 | $55,101 | $45,983–$75,018 |
| Austin TX | 11 | $17,816 | $30,330 | $31,137 | $17,367–$37,334 |
| Boston MA | 14 | $23,160 | $25,640 | $33,313 | $19,657–$47,878 |
| California (statewide) | 53 | $30,893 | $38,672 | $46,743 | $21,976–$119,976 |
| Charlotte NC | 8 | $38,798 | $42,018 | $54,188 | $31,095–$54,188 |
| Chicago IL | 10 | $32,126 | $37,282 | $42,920 | $24,201–$51,557 |
| Cleveland OH | 11 | $34,848 | $38,352 | $42,628 | $34,282–$49,950 |
| Colorado (statewide) | 16 | $34,268 | $48,454 | $64,096 | $16,983–$87,151 |
| Columbus OH | 3 | — | — | — | $56,342–$74,279 |
| Connecticut (statewide) | 6 | $25,801 | $39,360 | $52,126 | $16,238–$72,843 |
| Dallas-Fort Worth TX | 15 | $25,520 | $31,364 | $34,953 | $23,692–$61,616 |
| Delaware (statewide) | 2 | — | — | — | $30,938–$42,948 |
| Denver CO | 15 | $25,842 | $27,402 | $55,057 | $22,537–$70,268 |
| Detroit MI | 17 | $35,925 | $37,970 | $47,355 | $28,573–$52,822 |
| Florida (statewide) | 89 | $24,890 | $27,855 | $51,508 | $16,282–$83,260 |
| Georgia (statewide) | 43 | $35,890 | $52,153 | $62,710 | $21,535–$75,018 |
| Hawaii (statewide) | 11 | $36,880 | $42,662 | $54,624 | $32,181–$60,498 |
| Houston TX | 19 | $27,860 | $31,534 | $39,738 | $23,225–$59,274 |
| Idaho (statewide) | 16 | $36,475 | $47,140 | $63,730 | $27,238–$66,595 |
| Illinois (statewide) | 41 | $25,640 | $30,530 | $39,350 | $18,658–$59,956 |
| Indiana (statewide) | 47 | $20,987 | $36,810 | $46,576 | $16,090–$60,982 |
| Indianapolis IN | 6 | $15,419 | $33,317 | $59,812 | $15,260–$62,836 |
| Iowa (statewide) | 18 | $24,615 | $29,394 | $37,464 | $21,563–$43,243 |
| Kansas (statewide) | 23 | $21,636 | $24,803 | $35,531 | $11,745–$84,253 |
| Kentucky (statewide) | 27 | $24,044 | $26,434 | $34,658 | $15,755–$58,774 |
| Las Vegas NV | 2 | — | — | — | $41,741–$52,651 |
| Los Angeles CA | 18 | $39,133 | $46,912 | $49,618 | $35,865–$60,982 |
| Louisiana (statewide) | 24 | $20,050 | $24,384 | $26,734 | $15,236–$35,204 |
| Maine (statewide) | 13 | $51,721 | $75,168 | $83,811 | $21,372–$83,811 |
| Maryland (statewide) | 1 | — | — | — | $34,871–$34,871 |
| Massachusetts (statewide) | 8 | $31,406 | $36,401 | $37,831 | $19,762–$45,749 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $26,888–$45,417 |
| Michigan (statewide) | 38 | $29,783 | $36,184 | $41,085 | $17,329–$57,656 |
| Minneapolis-St. Paul MN | 15 | $41,457 | $43,761 | $45,734 | $20,142–$52,288 |
| Minnesota (statewide) | 21 | $35,371 | $35,371 | $43,761 | $15,218–$57,656 |
| Mississippi (statewide) | 17 | $29,496 | $31,688 | $31,908 | $19,876–$45,922 |
| Missouri (statewide) | 27 | $26,074 | $27,972 | $33,171 | $14,170–$61,616 |
| Montana (statewide) | 7 | $17,191 | $37,435 | $49,330 | $12,164–$79,649 |
| Nashville TN | 8 | $21,628 | $22,456 | $29,920 | $20,637–$48,925 |
| Nebraska (statewide) | 15 | $43,444 | $45,470 | $53,616 | $29,832–$66,201 |
| Nevada (statewide) | 4 | — | — | — | $34,978–$55,051 |
| New Hampshire (statewide) | 8 | $30,232 | $34,416 | $45,242 | $26,280–$65,195 |
| New Jersey (statewide) | 21 | $42,920 | $49,758 | $58,167 | $24,606–$73,344 |
| New Mexico (statewide) | 10 | $22,790 | $31,088 | $40,754 | $17,389–$76,730 |
| New York (statewide) | 48 | $29,632 | $36,342 | $49,444 | $20,110–$83,446 |
| New York City | 9 | $51,907 | $53,391 | $54,430 | $22,709–$84,683 |
| North Carolina (statewide) | 29 | $25,176 | $32,060 | $54,188 | $15,758–$64,491 |
| North Dakota (statewide) | 7 | $30,007 | $33,512 | $35,718 | $21,928–$46,008 |
| Ohio (statewide) | 51 | $35,406 | $43,872 | $49,393 | $17,805–$69,941 |
| Oklahoma (statewide) | 16 | $21,694 | $26,257 | $29,367 | $14,966–$47,321 |
| Oregon (statewide) | 11 | $42,810 | $45,869 | $56,695 | $24,729–$69,941 |
| Pennsylvania (statewide) | 60 | $27,022 | $37,111 | $46,442 | $18,849–$73,190 |
| Philadelphia PA | 11 | $47,047 | $50,847 | $56,525 | $43,705–$73,730 |
| Phoenix AZ | 11 | $46,138 | $46,138 | $47,942 | $40,473–$50,586 |
| Pittsburgh PA | 7 | $28,729 | $30,771 | $33,894 | $26,962–$37,984 |
| Portland OR | 9 | $54,306 | $59,038 | $66,347 | $51,248–$66,347 |
| Research Triangle NC | 9 | $27,809 | $38,324 | $41,842 | $24,246–$42,768 |
| Rhode Island (statewide) | 6 | $36,221 | $46,177 | $57,079 | $25,778–$60,020 |
| Richmond VA | 7 | $28,998 | $59,441 | $64,902 | $25,926–$72,004 |
| Rio Grande Valley TX | 6 | $28,400 | $31,440 | $33,741 | $25,376–$38,357 |
| Salt Lake City UT | 9 | $41,931 | $41,931 | $41,931 | $41,514–$41,931 |
| San Antonio TX | 3 | — | — | — | $28,504–$49,371 |
| San Diego CA | 7 | $31,484 | $35,146 | $41,844 | $31,484–$45,784 |
| San Francisco Bay Area CA | 2 | — | — | — | $32,678–$42,500 |
| Seattle-Tacoma WA | 16 | $50,910 | $55,132 | $56,050 | $49,088–$72,307 |
| South Carolina (statewide) | 30 | $47,530 | $56,588 | $61,209 | $19,614–$84,002 |
| South Dakota (statewide) | 4 | — | — | — | $30,491–$45,085 |
| St. Louis MO | 7 | $33,942 | $33,942 | $33,942 | $14,164–$48,303 |
| Tampa FL | 11 | $51,508 | $51,508 | $57,221 | $39,251–$61,478 |
| Tennessee (statewide) | 31 | $22,253 | $25,251 | $29,227 | $20,135–$48,925 |
| Texas (statewide) | 85 | $25,533 | $31,364 | $40,429 | $14,010–$66,251 |
| Utah (statewide) | 6 | $38,394 | $49,365 | $58,523 | $20,333–$59,098 |
| Vermont (statewide) | 3 | — | — | — | $31,858–$70,420 |
| Virginia (statewide) | 24 | $44,446 | $51,114 | $55,666 | $22,909–$95,431 |
| Washington (statewide) | 12 | $42,864 | $50,007 | $56,950 | $32,743–$106,092 |
| Washington DC | 11 | $38,902 | $49,978 | $51,880 | $21,972–$58,365 |
| West Virginia (statewide) | 11 | $12,062 | $13,003 | $37,837 | $11,645–$66,764 |
| Wisconsin (statewide) | 49 | $39,068 | $47,142 | $56,870 | $13,088–$66,673 |
| Wyoming (statewide) | 2 | — | — | — | $44,004–$55,199 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Weirton Medical Center, Inc | West Virginia (statewide) | $11,645 | 0.6× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $11,687 | 0.6× | 3 | 2026-07-09 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $11,745 | 0.7× | 3 | 2025-12-19 |
| Thomas Memorial Hospital | West Virginia (statewide) | $12,035 | 0.6× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $12,088 | 0.6× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $12,164 | 0.6× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $12,954 | 0.6× | 1 | 2026-07-29 |
| Berkeley Medical Center | West Virginia (statewide) | $12,965 | 0.7× | 3 | 2026-07-09 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $13,003 | 0.7× | 3 | 2026-07-09 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Peterson Regional Medical Center | Texas (statewide) | $14,010 | 0.7× | 1 | 2026-08-17 |
| Mercy Hospital South | St. Louis MO | $14,164 | 0.7× | 1 | 2026-06-10 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $83,811 | 4.3× | 3 | 2026-03-30 |
| Cherokee Medical Center | South Carolina (statewide) | $84,002 | 4.6× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $84,253 | 3.8× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $84,253 | 4.5× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $84,683 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $87,151 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $87,842 | 4.6× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $89,523 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $95,431 | 5.0× | 1 | 2025-12-15 |
| Providence Centralia Hospital | Washington (statewide) | $106,092 | 4.8× | 2 | 2026-04-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $106,235 | 4.1× | 2 | 2026-09-02 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $119,976 | 4.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for shoulder replacement?
Across 1062 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 23472, hospital outpatient is $24,831, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $19,370 to $33,813. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for shoulder replacement?
Medicare's national hospital outpatient rate for CPT 23472 is $17,914 and its surgery-center rate is $13,912, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for shoulder replacement?
Lowest medians: Bradley County Medical Center ($8,200), Unitypoint Health - Meriter ($8,650), North Canyon Medical Center ($8,676). Highest: Memorial Medical Center ($122,518), Mainehealth Lincoln Hospital ($109,991), Mary Bridge Children'S Hospital ($97,386). Coverage: every hospital whose price file we could read.