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Shoulder replacement in Georgia: what insurers pay

Posted commercial rates at 53 Georgia hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$9,3780.5×22026-04-01
Emory Decatur Hospital Decatur$9,3780.5×22026-04-01
Emory Saint Joseph's Hospital Atlanta$9,3780.5×22026-04-01
Emory University Hospital Midtown Atlanta$9,3780.5×22026-04-01
Emory Johns Creek Hospital Johns Creek$9,3780.5×22026-04-01
Emory Hillandale Hospital Lithonia$9,3780.5×22026-04-01
Emory Houston Hospital Warner Robins Warner Robins$10,8460.7×22026-04-01
Navicent Health Baldwin Milledgeville$12,0490.8×12025-11-19
East Georgia Regional Medical Center Statesboro$20,9041.4×52026-04-01
St Francis Hospital- Emory Healthcare Columbus$23,4901.5×12026-04-01
Memorial Health Meadows Hospital Vidalia$24,2001.6×52026-09-01
Atrium Health Floyd Medical Center Rome$26,8781.5×12025-11-19
Northeast Georgia Medical Center, Inc Gainesville$27,2501.6×12026-04-01
Northeast Georgia Medical Center Habersham Demorest$27,2501.8×12026-04-01
Northeast Georgia Medical Center Barrow Winder$27,2501.6×12026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$27,2501.6×12026-04-01
Memorial Satilla Health Waycross$27,8461.8×52026-09-01
Fairview Park Hospital Dublin$29,3731.9×62026-09-01
Doctors Hospital Augusta$30,9002.0×52026-09-01
Jefferson Hospital Louisville$32,5282.1×62026-04-14
Wellstar Sylvan Grove Medical Center Jackson$34,6562.0×22026-04-01
Wellstar Kennestone Hospital Marietta$34,7401.9×22026-04-01
Wellstar Paulding Medical Center Hiram$34,7401.9×22026-04-01
Wellstar Spalding Medical Center Griffin$34,8062.0×22026-04-01
Wellstar Douglas Medical Center Douglasville$34,8072.0×22026-04-01
Wellstar West Georgia Medical Center Lagrange$34,8522.3×22026-04-01
Wellstar North Fulton Hospital Roswell$35,1402.0×22026-04-01
Coffee Regional Medical Center, Inc Douglas$39,0832.5×42026-06-05
Wellstar Cobb Medical Center Austell$41,7822.4×22026-04-01
Adventhealth Redmond Rome$41,8262.3×32026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Sgmc Health Valdosta$21,5351.3×22026-03-25
Doctors Hospital Augusta$23,8381.4×122026-09-01
Fairview Park Hospital Dublin$23,8561.4×132026-09-01
Memorial Health Meadows Hospital Vidalia$24,6321.4×82026-09-01
Tanner Medical Center - Carrollton Carrollton$24,8931.3×12026-03-24
Atrium Health Navicent Peach Byron$25,7001.5×22025-11-19
Tanner Medical Center Villa Rica Villa Rica$26,6441.4×22026-03-24
Memorial Satilla Health Waycross$27,6691.6×82026-09-01
Atrium Health Floyd Medical Center Rome$31,9311.6×12025-11-19
St Francis Hospital- Emory Healthcare Columbus$33,8702.0×42026-04-01
Atrium Health Navicent The Medical Center Macon$35,7442.0×72025-11-19
East Georgia Regional Medical Center Statesboro$36,0352.1×52026-04-01
Adventhealth Redmond Rome$39,9651.9×62026-04-01
Navicent Health Baldwin Milledgeville$40,0562.3×22025-11-19
Adventhealth Gordon Calhoun$41,6822.4×22026-04-01
Adventhealth Murray Chatsworth$41,6822.3×22026-04-01
Sgmc Berrien Campus Nashville$43,2732.5×12026-03-25
Emory University Hospital Atlanta$45,9832.3×52026-04-01
Emory Decatur Hospital Decatur$45,9832.3×52026-04-01
Emory Saint Joseph's Hospital Atlanta$45,9832.3×52026-04-01
Emory University Hospital Midtown Atlanta$45,9832.3×52026-04-01
Emory Johns Creek Hospital Johns Creek$45,9832.3×52026-04-01
Emory Hillandale Hospital Lithonia$48,0642.4×42026-04-01
Emory Houston Hospital Warner Robins Warner Robins$50,5142.9×42026-04-01
Piedmont Augusta Hospital Augusta$51,8913.0×42026-07-01
Piedmont Columbus Regional Midtown Columbus$52,1533.0×52026-07-01
Piedmont Columbus Regional Northside Columbus$52,1533.0×52026-07-01
Piedmont Atlanta Hospital Atlanta$52,3462.6×52026-07-01
Coffee Regional Medical Center, Inc Douglas$52,4073.0×32026-06-05
Piedmont Fayette Hospital Fayetteville$53,7422.7×52026-07-01
Piedmont Cartersville Medical Center Cartersville$55,1012.8×52026-07-01
Piedmont Rockdale Hospital Conyers$55,1012.8×52026-07-01
Piedmont Newnan Hospital Newnan$55,1012.8×52026-07-01
Piedmont Walton Hospital, Inc Monroe$55,1682.8×52026-07-01
Piedmont Mountainside Hospital Inc Jasper$55,1682.8×52026-07-01
Piedmont Eastside Medical Center Snellville$57,2082.9×42026-07-01
Piedmont Newton Hospital Covington$57,2162.9×42026-07-01
Piedmont Macon Medical Center Macon$60,6583.5×52026-07-01
Piedmont Macon North Hospital Macon$61,5303.5×52026-07-01
Piedmont Mcduffie Hospital Thomson$63,8913.7×42026-07-01
Northeast Georgia Medical Center, Inc Gainesville$64,4763.4×52026-04-01
Northeast Georgia Medical Center Habersham Demorest$64,4763.8×52026-04-01
Northeast Georgia Medical Center Barrow Winder$64,4763.3×52026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$64,4763.3×52026-04-01
Wellstar West Georgia Medical Center Lagrange$75,0184.4×42026-04-01
Wellstar Spalding Medical Center Griffin$75,0183.8×42026-04-01
Wellstar Kennestone Hospital Marietta$75,0183.7×42026-04-01
Wellstar Paulding Medical Center Hiram$75,0183.7×42026-04-01
Wellstar Cobb Medical Center Austell$75,0183.7×42026-04-01
Wellstar Douglas Medical Center Douglasville$75,0183.8×42026-04-01
Wellstar North Fulton Hospital Roswell$75,0183.8×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$75,0183.8×42026-04-01

Questions

How much do insurers pay for shoulder replacement in Georgia?

53 Georgia hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 30 hospitals is $27,250, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.