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Shoulder replacement in California: what insurers pay

Posted commercial rates at 28 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
Stanford Health Care Tri-Valley Pleasanton$13,5470.6×22026-04-01
Providence Mission Hospital Mission Viejo$16,6880.7×42026-04-01
Providence St. Jude Medical Center Fullerton$17,0870.8×42026-04-01
St Mary's Medical Center San Francisco$17,3270.7×42026-04-01
Providence St. Joseph Hospital Orange$17,8880.8×42026-04-01
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
Hoag Memorial Hospital Presbyterian Newport Beach$19,7610.9×32026-04-01
Providence Holy Cross Medical Center Mission Hills$20,6120.9×22026-04-01
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
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$20,8040.9×42026-04-01
Usc Verdugo Hills Hospital Glendale$22,2261.0×12026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$22,7241.0×12026-03-29
Ucla West Valley Medical Center West Hills$29,2741.3×22026-03-29
Los Robles Hospital & Medical Center Thousand Oaks$31,6241.4×42026-09-01
Keck Hospital Of Usc Los Angeles$32,3381.4×32026-04-01
Cedars-Sinai Medical Center Los Angeles$32,9481.5×32025-11-26
Tri-City Medical Center Oceanside$34,7291.5×22026-05-29
Good Samaritan Hospital San Jose$39,0661.5×32026-09-01
Memorialcare Orange Coast Medical Center Fountain Valley$39,7601.8×22026-04-01
Stanford Health Care Stanford$41,6321.6×42026-04-01
Memorialcare Long Beach Medical Center Long Beach$41,6901.9×22026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.0×32026-09-01
Good Samaritan Hospital San Jose$31,0641.0×32026-09-01
Providence St. Jude Medical Center Fullerton$32,8261.3×52026-04-01
Providence Mission Hospital Mission Viejo$32,8261.3×52026-04-01
Providence St. Joseph Hospital Orange$33,6381.3×52026-04-01
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$34,8311.3×72026-04-01
Usc Arcadia Hospital Arcadia$36,7001.4×42026-07-27
Usc Verdugo Hills Hospital Glendale$37,0721.4×52026-04-01
St Mary's Medical Center San Francisco$37,1311.3×32026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$37,1381.4×12026-03-29
Providence Cedars Sinai Tarzana Medical Center Tarzana$39,4911.5×62026-04-01
Tri-City Medical Center Oceanside$40,0241.5×22026-05-29
Providence Little Company Of Mary Med Ctr Torrance Torrance$41,5681.6×62026-04-01
Providence Holy Cross Medical Center Mission Hills$41,5881.6×52026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$45,1191.7×62026-04-01
Scripps Green Hospital La Jolla$45,2641.8×62026-03-30
Scripps Mercy Hospital San Diego$45,2641.8×62026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$45,2641.8×62026-03-30
Providence Saint Joseph Medical Ctr Burbank$46,5611.8×62026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$48,1901.9×52026-04-01
Scripps Memorial Hospital La Jolla La Jolla$50,8642.0×52026-03-30
Memorialcare Long Beach Medical Center Long Beach$51,0582.0×52026-04-01
Cedars-Sinai Medical Center Los Angeles$51,9832.0×12025-11-26
Ucla West Valley Medical Center West Hills$54,0642.1×12026-03-29
Hoag Memorial Hospital Presbyterian Newport Beach$59,3152.3×12026-04-01
Keck Hospital Of Usc Los Angeles$84,8483.3×72026-04-01

Questions

How much do insurers pay for shoulder replacement in California?

28 California hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 23 hospitals is $20,804, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.