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Shoulder replacement in Washington DC

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 23472

Hospital · insurer	Rate	× Medicare	Plans
George Washington Univ Hospital median $11,403 · local Medicare $20,713 · file 2026-09-01
Cigna	$11,365	0.5×	2
Mdipa	$11,403	0.6×	1
UnitedHealthcare	$30,508	1.5×	2
Inova Alexandria Hospital median $27,718 · local Medicare $18,140 · file 2026-04-01
Elevance/Anthem/Empire	$48,755	2.7×	2
Sentara Health	$11,413	0.6×	2
UnitedHealthcare	$27,718	1.5×	2
Inova Loudoun Hospital median $27,718 · local Medicare $18,140 · file 2026-04-01
Elevance/Anthem/Empire	$49,518	2.7×	2
Sentara Health	$11,413	0.6×	2
UnitedHealthcare	$27,718	1.5×	2
Inova Fair Oaks Hospital median $27,718 · local Medicare $18,140 · file 2026-04-01
Elevance/Anthem/Empire	$49,736	2.7×	2
Sentara Health	$11,413	0.6×	2
UnitedHealthcare	$27,718	1.5×	2
Inova Mount Vernon Hospital median $27,718 · local Medicare $18,140 · file 2026-04-01
Elevance/Anthem/Empire	$49,180	2.7×	2
Sentara Health	$11,413	0.6×	2
UnitedHealthcare	$27,718	1.5×	2
Inova Fairfax Hospital median $28,155 · local Medicare $18,140 · file 2026-04-01
Elevance/Anthem/Empire	$50,277	2.8×	2
Sentara Health	$11,413	0.6×	2
UnitedHealthcare	$28,155	1.6×	2
Spotsylvania Regional Medical Center median $28,520 · local Medicare $18,140 · file 2026-09-01
Aetna	$46,898	2.6×	1
Bright Health	$10,932	0.6×	1
Cigna	$32,105	1.8×	2
Elevance/Anthem/Empire	$25,030	1.4×	4
Sentara Optima Health	$30,552	1.7×	3
UnitedHealthcare	$26,488	1.5×	1
Reston Hospital Center median $31,328 · local Medicare $18,140 · file 2026-09-01
Aetna	$46,898	2.6×	1
Bright Health	$23,280	1.3×	1
Cigna	$32,105	1.8×	2
Elevance/Anthem/Empire	$28,168	1.6×	4
Sentara Optima Health	$30,552	1.7×	2
UnitedHealthcare	$35,438	2.0×	1
Stonesprings Hospital Center median $31,328 · local Medicare $18,140 · file 2026-09-01
Aetna	$46,898	2.6×	1
Bright Health	$23,280	1.3×	1
Cigna	$32,105	1.8×	2
Elevance/Anthem/Empire	$26,025	1.4×	4
Sentara Optima Health	$30,552	1.7×	2
UnitedHealthcare	$35,438	2.0×	1

MS-DRG 483

Hospital · insurer	Rate	× Medicare	Plans
Spotsylvania Regional Medical Center median $21,972 · local Medicare $20,452 · file 2026-09-01
Aetna	$21,972	1.1×	1
Bright Health	$21,693	1.1×	2
Cigna	$32,952	1.6×	2
Elevance/Anthem/Empire	$25,399	1.2×	5
Sentara Optima Health	$29,062	1.4×	3
UnitedHealthcare	$21,512	1.1×	3
Virginia Premier Health	$21,942	1.1×	1
Reston Hospital Center median $27,442 · local Medicare $20,452 · file 2026-09-01
Aetna	$22,643	1.1×	1
Bright Health	$27,442	1.3×	2
CareFirst BCBS	$43,073	2.1×	2
Cigna	$32,952	1.6×	2
Elevance/Anthem/Empire	$37,648	1.8×	5
Pyramid Life	$24,385	1.2×	1
Sentara Optima Health	$29,062	1.4×	2
UnitedHealthcare	$21,614	1.1×	2
Virginia Premier Health	$22,612	1.1×	1
Stonesprings Hospital Center median $28,252 · local Medicare $20,452 · file 2026-09-01
Aetna	$22,595	1.1×	1
Bright Health	$27,442	1.3×	2
CareFirst BCBS	$43,073	2.1×	2
Cigna	$32,952	1.6×	2
Elevance/Anthem/Empire	$40,287	2.0×	5
Sentara Optima Health	$29,062	1.4×	2
UnitedHealthcare	$21,569	1.1×	2
Virginia Premier Health	$22,564	1.1×	1
George Washington Univ Hospital median $49,552 · local Medicare $23,638 · file 2026-09-01
Aetna	$56,927	2.4×	1
Cigna	$48,226	2.0×	2
Elevance/Anthem/Empire	$50,399	2.1×	2
Mdipa	$48,705	2.1×	1
Medstar	$33,611	1.4×	1
UnitedHealthcare	$82,262	3.5×	2
Inova Alexandria Hospital median $49,960 · local Medicare $20,452 · file 2026-04-01
Aetna	$49,960	2.4×	3
CareFirst BCBS	$46,687	2.3×	2
Cigna	$55,380	2.7×	2
Elevance/Anthem/Empire	$48,028	2.3×	2
Innovation	$46,712	2.3×	2
Sentara Health	$53,265	2.6×	2
UnitedHealthcare	$68,070	3.3×	2
Inova Mount Vernon Hospital median $49,978 · local Medicare $20,452 · file 2026-04-01
Aetna	$49,960	2.4×	3
CareFirst BCBS	$46,687	2.3×	2
Cigna	$55,380	2.7×	2
Elevance/Anthem/Empire	$49,978	2.4×	2
Innovation	$46,712	2.3×	2
Sentara Health	$53,265	2.6×	2
UnitedHealthcare	$68,070	3.3×	2
Inova Loudoun Hospital median $51,249 · local Medicare $20,452 · file 2026-04-01
Aetna	$49,960	2.4×	3
CareFirst BCBS	$46,687	2.3×	2
Cigna	$55,380	2.7×	2
Elevance/Anthem/Empire	$51,249	2.5×	2
Innovation	$46,712	2.3×	2
Sentara Health	$53,265	2.6×	2
UnitedHealthcare	$68,070	3.3×	2
Inova Fairfax Hospital median $51,749 · local Medicare $20,452 · file 2026-04-01
Aetna	$51,657	2.5×	3
CareFirst BCBS	$50,099	2.4×	2
Cigna	$56,195	2.7×	2
Elevance/Anthem/Empire	$51,749	2.5×	2
Innovation	$48,431	2.4×	2
Sentara Health	$57,897	2.8×	2
UnitedHealthcare	$68,911	3.4×	2
Medstar Georgetown University Hospital median $52,012 · local Medicare $23,638 · file 2026-04-01
Aetna	$92,482	3.9×	1
CareFirst BCBS	$52,012	2.2×	2
Cigna	$79,254	3.4×	2
Health Care Service Corporation	$26,456	1.1×	1
UnitedHealthcare	$41,854	1.8×	4
Inova Fair Oaks Hospital median $52,213 · local Medicare $20,452 · file 2026-04-01
Aetna	$49,960	2.4×	3
CareFirst BCBS	$46,687	2.3×	2
Cigna	$55,380	2.7×	2
Elevance/Anthem/Empire	$52,213	2.6×	2
Innovation	$46,712	2.3×	2
Sentara Health	$53,265	2.6×	2
UnitedHealthcare	$68,070	3.3×	2
Medstar Washington Hospital Center median $58,365 · local Medicare $23,638 · file 2026-04-01
Aetna	$76,036	3.2×	1
CareFirst BCBS	$45,795	1.9×	2
Cigna	$75,437	3.2×	2
Health Care Service Corporation	$27,245	1.2×	1
Kaiser Permanente	$58,365	2.5×	1
Mamsi	$70,251	3.0×	1
UnitedHealthcare	$50,424	2.1×	4

Questions

How much does shoulder replacement cost with commercial insurance in Washington DC?

9 Washington DC hospitals post usable commercial rates for CPT 23472, hospital outpatient. The median across hospitals is $27,718; hospital medians range from $11,403 to $31,328. Your cost depends on your plan's deductible and coinsurance.