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Shoulder replacement in California: what insurers pay

Posted commercial rates at 109 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Fresno Surgical Hospital Fresno$11,4350.5×12026-06-16
Community Regional Medical Center Fresno$11,9460.5×52026-06-18
Clovis Community Medical Center Clovis$11,9460.5×52026-06-15
Stanford Health Care Tri-Valley Pleasanton$13,5470.6×22026-04-01
Desert Valley Hospital Victorville$14,8510.7×42026-09-01
Providence Mission Hospital Mission Viejo$16,6880.7×42026-04-01
Providence St. Jude Medical Center Fullerton$17,0870.8×42026-04-01
Rady Children'S Hospital - San Diego San Diego$17,1330.8×32026-04-01
Providence St. Joseph Hospital Orange$17,8880.8×42026-04-01
Los Angeles Community Hospital Los Angeles$18,3900.8×32026-03-18
Providence Cedars Sinai Tarzana Medical Center Tarzana$18,5940.8×22026-04-01
Providence Saint Joseph Medical Ctr Burbank$18,7200.8×22026-04-01
Providence Queen Of The Valley Medical Center Napa$19,3450.9×32026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$19,7610.9×32026-04-01
Foothill Regional Medical Center Tustin$20,2290.9×32026-03-18
Providence Santa Rosa Memorial Hospital Santa Rosa$20,4880.9×32026-04-01
St Mary's Medical Center San Francisco$20,5490.8×52026-04-01
Providence Holy Cross Medical Center Mission Hills$20,6120.9×22026-04-01
Saint John's Health Center Santa Monica$20,6620.9×22026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$20,7170.9×32026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$20,7420.9×32026-04-01
Chino Valley Medical Center Chino$22,4411.0×72026-09-01
Sherman Oaks Hospital Sherman Oaks$22,4411.0×42026-09-01
Oroville Hospital Oroville$22,6341.0×42026-09-27
Loma Linda University Medical Center Loma Linda$24,8071.1×102026-09-02
Loma Linda University Medical Center-Murrieta Murrieta$24,8071.1×72026-09-02
St Rose Hospital Hayward$24,9311.0×62026-02-23
Community Hospital Of Huntington Park Huntington Park$25,6131.1×152026-02-04
Memorial Hospital Of Gardena Gardena$25,6131.1×152026-02-04
East Los Angeles Doctors Hospital Los Angeles$25,6131.1×162026-02-04
Coast Plaza Hospital Norwalk$25,6131.1×152026-02-04
Good Samaritan Hospital San Jose$25,7901.0×52026-09-01
San Dimas Community Hospital San Dimas$25,8071.1×82026-09-01
Usc Verdugo Hills Hospital Glendale$27,0621.2×32026-04-01
Southern California Hospital At Hollywood Hollywood$28,9641.3×42026-03-18
Keck Hospital Of Usc Los Angeles$29,3171.3×72026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$31,6241.4×42026-09-01
Providence St Joseph Hospital Eureka$31,6251.4×32026-04-01
Cedars-Sinai Medical Center Los Angeles$32,9481.5×32025-11-26
University Of California Davis Medical Center Sacramento$33,2271.5×22026-04-01
Providence Redwood Memorial Hospital Fortuna$33,4481.5×22026-04-01
Shasta Regional Medical Center Redding$33,6611.5×32026-09-01
Tri-City Medical Center Oceanside$33,8271.5×52026-05-29
Riverside Community Hospital Riverside$34,1601.5×42026-09-01
Uci Health-Lakewood Lakewood$34,3911.5×62026-04-01
Providence St Mary Medical Center Apple Valley$37,7181.7×42026-04-01
Palomar Health Downtown Campus Escondido$38,8341.7×22026-04-01
Scripps Mercy Hospital San Diego$39,4651.8×32026-03-30
Scripps Memorial Hospital La Jolla La Jolla$39,4651.8×32026-03-30
Scripps Green Hospital La Jolla$39,4651.8×32026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$39,4651.8×32026-03-30
Memorialcare Saddleback Medical Center Laguna Hills$40,0891.8×72026-04-01
Mission Community Hospital Panorama City$40,3321.8×32026-09-01
Palomar Medical Center Poway Poway$41,5851.8×12026-04-01
Stanford Health Care Stanford$41,6321.6×42026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$42,6601.9×62026-04-01
Saint Agnes Medical Center Fresno$46,7622.1×92026-03-31
Memorialcare Long Beach Medical Center Long Beach$48,7112.2×52026-04-01
Kaiser Foundation Hospital - Los Angeles Los Angeles$54,2612.4×12026-04-01
Kaiser Foundation Hospital - Downey Downey$54,2612.4×12026-04-01
Kaiser Foundation Hospital - South Bay Harbor City$54,2612.4×12026-04-01
Kaiser Foundation Hospital - Zion San Diego$54,2612.4×12026-04-01
Kaiser Foundation Hospital - Woodland Hills Woodland Hills$54,2612.4×12026-04-01
Kaiser Foundation Hospital, Riverside Riverside$54,2612.4×12026-04-01
Kaiser Foundation Hospital - Baldwin Park Baldwin Park$54,2612.4×12026-04-01
Kaiser Foundation Hospital-Moreno Valley Moreno Valley$54,2612.4×12026-04-01
Kaiser Foundation Hospital - San Marcos San Marcos$54,2612.4×12026-04-01
Kaiser Foundation Hospital - South San Francisco South San Francisco$69,5902.8×12026-04-01
Kaiser Foundation Hospital-Santa Clara Santa Clara$69,5902.7×12026-04-01
Kaiser Foundation Hospital - Walnut Creek Walnut Creek$69,5902.8×12026-04-01
Kaiser Foundation Hospital - San Francisco San Francisco$69,5902.8×12026-04-01
Regional Medical Center Of San Jose San Jose$69,5902.7×12026-04-01
Kaiser Foundation Hospital - Sacramento Sacramento$69,5903.1×12026-04-01
Kaiser Foundation Hospital - Fremont Fremont$69,5902.8×12026-04-01
Kaiser Foundation Hospital - Redwood City Redwood City$69,5902.8×12026-04-01
Kaiser Foundation Hospital-Santa Rosa Santa Rosa$69,5903.0×12026-04-01
Kaiser Foundation Hospital - Fresno Fresno$69,5903.1×12026-04-01
Kaiser Foundation Hospital - Antioch Antioch$69,5902.8×12026-04-01
Kaiser Foundation Hospital - Vacaville Vacaville$69,5902.8×12026-04-01
Kaiser Foundation Hospital - Roseville Roseville$69,5903.1×12026-04-01
Kaiser Foundation Hospital - San Leandro San Leandro$69,5902.8×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
College Medical Center Long Beach$21,9760.8×52026-07-01
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.0×32026-09-01
Clovis Community Medical Center Clovis$25,7831.0×22026-06-15
Chapman Global Medical Center Orange$26,4321.0×92026-05-06
Community Hospital Of Huntington Park Huntington Park$27,2711.1×122026-02-04
Oak Valley Hospital District Oakdale$27,5501.1×22026-07-17
San Gorgonio Memorial Hospital Banning$28,2061.1×52026-05-20
Coast Plaza Hospital Norwalk$28,2381.1×132026-02-04
Victor Valley Global Medical Center Victorville$29,0471.1×112026-05-13
Orange County Global Medical Center Santa Ana$29,1321.1×122026-06-15
Memorial Hospital Of Gardena Gardena$29,1671.1×132026-02-04
St Rose Hospital Hayward$29,8471.0×52026-02-23
South Coast Global Medical Center Santa Ana$30,1701.2×112026-06-15
East Los Angeles Doctors Hospital Los Angeles$30,8931.2×132026-02-04
Watsonville Community Hospital Watsonville$31,3411.1×172026-09-15
Scripps Mercy Hospital San Diego$31,4841.2×152026-03-30
Scripps Memorial Hospital La Jolla La Jolla$31,4841.2×132026-03-30
Scripps Green Hospital La Jolla$31,4841.2×152026-03-30
Good Samaritan Hospital San Jose$32,6781.1×102026-09-01
Hemet Global Medical Center Hemet$33,4121.3×12026-06-15
Menifee Global Medical Center Sun City$33,4121.3×12026-05-20
San Dimas Community Hospital San Dimas$34,0721.3×72026-09-01
Sonoma Valley Hospital Sonoma$34,3821.3×122026-05-22
Sherman Oaks Hospital Sherman Oaks$34,5041.3×52026-09-01
Scripps Memorial Hospital - Encinitas Encinitas$35,1461.4×142026-03-30
Encino Hospital Medical Center Encino$35,8061.4×42026-09-01
Providence Mission Hospital Mission Viejo$35,8651.4×62026-04-01
La Palma Intercommunity Hospital La Palma$36,3531.4×42026-09-01
Usc Verdugo Hills Hospital Glendale$37,0711.4×112026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$37,1381.4×32026-03-29
Usc Arcadia Hospital Arcadia$37,4091.4×62026-07-27
Paradise Valley Hospital National City$37,6001.4×62026-09-01
Riverside Community Hospital Riverside$37,6921.4×112026-09-01
Southern California Hospital At Hollywood Hollywood$37,7091.5×52026-03-18
Montclair Hospital Medical Center Montclair$38,4321.5×52026-09-01
Los Angeles Community Hospital Los Angeles$38,6721.5×62026-03-18
Tri-City Medical Center Oceanside$38,6801.5×42026-05-29
Providence St. Jude Medical Center Fullerton$38,7571.5×62026-04-01
Centinela Hospital Medical Center Inglewood$38,8221.5×42026-09-01
Barstow Community Hospital Barstow$39,5051.5×32026-09-17
Desert Valley Hospital Victorville$39,5131.5×72026-09-01
San Antonio Regional Hospital Upland$39,8621.5×142026-04-02
Providence St. Joseph Hospital Orange$40,2601.6×72026-04-01
Saint Agnes Medical Center Fresno$40,6801.6×42026-03-31
Chino Valley Medical Center Chino$41,6021.6×72026-09-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$41,7651.6×82026-04-01
Community Regional Medical Center Fresno$42,0311.6×22026-06-18
Foothill Regional Medical Center Tustin$42,4541.6×62026-03-18
St Mary's Medical Center San Francisco$42,5001.4×42026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$43,3861.7×82026-04-01
Providence Redwood Memorial Hospital Fortuna$43,5311.7×32026-04-01
Palomar Health Downtown Campus Escondido$45,0071.7×32026-04-01
Riverside University Health System-Medical Center Moreno Valley$45,0931.7×12026-03-30
San Joaquin General Hospital French Camp$45,7561.8×22026-04-01
Palomar Medical Center Poway Poway$45,7841.8×22026-04-01
Ronald Reagan Ucla Medical Center Los Angeles$46,2251.8×32026-03-29
Providence Holy Cross Medical Center Mission Hills$46,5721.8×72026-04-01
Mission Community Hospital Panorama City$46,7431.8×72026-09-01
Memorialcare Saddleback Medical Center Laguna Hills$46,8981.8×102026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$47,2521.8×82026-04-01
Providence Saint Joseph Medical Ctr Burbank$47,4981.8×82026-04-01
Cedars-Sinai Medical Center Los Angeles$47,6901.8×22025-11-26
Memorialcare Orange Coast Medical Center Fountain Valley$48,4831.9×102026-04-01
Saint John's Health Center Santa Monica$49,9961.9×62026-04-01
Ucla West Valley Medical Center West Hills$50,1441.9×22026-03-29
Memorialcare Long Beach Medical Center Long Beach$51,0592.0×132026-04-01
Shasta Regional Medical Center Redding$51,9332.0×42026-09-01
Fresno Surgical Hospital Fresno$52,3142.0×12026-06-16
Providence Queen Of The Valley Medical Center Napa$55,5152.1×52026-04-01
Providence St Mary Medical Center Apple Valley$57,3742.2×22026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$59,3152.3×12026-04-01
Keck Hospital Of Usc Los Angeles$60,9822.4×232026-04-01
Providence St Joseph Hospital Eureka$61,0162.4×42026-04-01
Loma Linda University Medical Center Loma Linda$65,9772.5×32026-09-02
Providence Santa Rosa Memorial Hospital Santa Rosa$69,9582.6×52026-04-01
Uci Health-Lakewood Lakewood$73,9002.9×142026-04-01
Lac/Olive View-Ucla Medical Center Sylmar$83,0533.2×12026-03-12
Lac/Harbor-Ucla Med Center Torrance$89,5233.5×12026-03-12
Loma Linda University Children'S Hospital Loma Linda$106,2354.1×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation Ctr Downey$119,9764.6×12026-03-12

Questions

How much do insurers pay for shoulder replacement in California?

109 California hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 81 hospitals is $33,448, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.