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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 |
|---|---|---|---|
| Houston Methodist Baytown Hospital median $12,856 · local Medicare $17,614 · file 2026-04-01 | |||
| Cigna | $15,912 | 0.9× | 3 |
| UnitedHealthcare | $9,799 | 0.6× | 1 |
| Houston Methodist Sugar Land Hospital median $12,856 · local Medicare $17,614 · file 2026-04-01 | |||
| Cigna | $15,912 | 0.9× | 3 |
| UnitedHealthcare | $9,799 | 0.6× | 1 |
| Houston Methodist Hospital median $15,912 · local Medicare $17,614 · file 2026-04-01 | |||
| Cigna | $15,912 | 0.9× | 3 |
| Uae | $70,455 | 4.0× | 1 |
| UnitedHealthcare | $9,739 | 0.6× | 1 |
| Houston Methodist West Hospital median $15,912 · local Medicare $17,614 · file 2026-04-01 | |||
| Cigna | $15,912 | 0.9× | 3 |
| Uae | $70,455 | 4.0× | 1 |
| UnitedHealthcare | $9,799 | 0.6× | 1 |
| Houston Methodist The Woodlands Hospital median $15,912 · local Medicare $17,614 · file 2026-04-01 | |||
| Advanced Medical Pricing Solutions | $35,227 | 2.0× | 1 |
| Cigna | $15,912 | 0.9× | 3 |
| UnitedHealthcare | $9,799 | 0.6× | 1 |
| St. Luke's Health The Woodlands Hospital median $20,621 · local Medicare $17,614 · file 2026-02-28 | |||
| Bright Health | $20,621 | 1.2× | 1 |
| Centene/Superior/Ambetter | $27,630 | 1.6× | 1 |
| Cigna | $9,158 | 0.5× | 2 |
| NXHealth | $59,864 | 3.4× | 1 |
| Renaissance | $13,262 | 0.8× | 1 |
| St. Luke's Health Sugar Land Hospital median $24,126 · local Medicare $17,614 · file 2026-02-28 | |||
| Bright Health | $20,621 | 1.2× | 1 |
| Centene/Superior/Ambetter | $27,630 | 1.6× | 1 |
| Cigna | $9,158 | 0.5× | 1 |
| Community Health Choice | $27,630 | 1.6× | 1 |
| NX Health | $59,864 | 3.4× | 1 |
| Renaissance | $13,262 | 0.8× | 1 |
| Hca Houston Healthcare Southeast median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Conroe median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Clear Lake median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Northwest median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Medical Center median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Tomball median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Hca Houston Healthcare Kingwood median $24,271 · local Medicare $17,614 · file 2026-09-01 | |||
| BCBS TX | $42,799 | 2.4× | 5 |
| Cigna | $53,295 | 3.0× | 3 |
| Curative Administrators | $23,981 | 1.4× | 1 |
| Devoted Health | $22,017 | 1.2× | 1 |
| Evry Health | $24,561 | 1.4× | 1 |
| Healthcare Highways (rental network) | $42,583 | 2.4× | 1 |
| Oscar | $18,425 | 1.0× | 1 |
| Shared Health | $22,898 | 1.3× | 1 |
| UnitedHealthcare | $25,500 | 1.4× | 2 |
| Baylor St. Luke's Medical Center median $26,709 · local Medicare $17,614 · file 2026-02-28 | |||
| Bright Health | $20,621 | 1.2× | 1 |
| Centene/Superior/Ambetter | $27,630 | 1.6× | 1 |
| Cigna | $9,158 | 0.5× | 1 |
| Community Health Choice | $27,630 | 1.6× | 1 |
| Employer Direct | $25,788 | 1.5× | 1 |
| Harris Health | $27,630 | 1.6× | 1 |
| NX Health | $59,864 | 3.4× | 1 |
| Renaissance | $13,262 | 0.8× | 1 |
| Chi St Luke's Health Brazosport median $31,243 · local Medicare $17,614 · file 2026-02-28 | |||
| Bright Health | $20,621 | 1.2× | 1 |
| Entrust | $32,493 | 1.8× | 1 |
| Humana | $31,243 | 1.8× | 1 |
| Memorial Hermann-Texas Medical Center median $33,466 · local Medicare $17,614 · file 2026-04-01 | |||
| 90 Degrees | $33,466 | 1.9× | 1 |
| Memorial Hermann Memorial City Medical Center median $33,466 · local Medicare $17,614 · file 2026-04-01 | |||
| 90 Degrees | $33,466 | 1.9× | 1 |
| Memorial Hermann Sugar Land Hospital median $33,466 · local Medicare $17,614 · file 2026-04-01 | |||
| 90 Degrees | $33,466 | 1.9× | 1 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Chi St Luke's Health Brazosport median $23,225 · local Medicare $19,819 · file 2026-02-28 | |||
| Bright Health | $26,747 | 1.3× | 1 |
| Entrust | $53,193 | 2.7× | 1 |
| Humana | $19,341 | 1.0× | 1 |
| UnitedHealthcare | $19,703 | 1.0× | 1 |
| Hca Houston Healthcare Medical Center median $27,085 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $23,322 | 1.2× | 1 |
| BCBS TX | $31,534 | 1.6× | 6 |
| Cigna | $39,318 | 2.0× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $22,656 | 1.1× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Oscar | $27,085 | 1.4× | 2 |
| Shared Health | $26,654 | 1.3× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Hca Houston Healthcare Tomball median $27,186 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $23,716 | 1.2× | 1 |
| BCBS TX | $31,534 | 1.6× | 6 |
| CHC Harris Health | $22,586 | 1.1× | 1 |
| Cigna | $39,318 | 2.0× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $23,038 | 1.2× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Oscar | $27,269 | 1.4× | 2 |
| Shared Health | $27,104 | 1.4× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Hca Houston Healthcare Clear Lake median $27,500 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $24,628 | 1.2× | 1 |
| Averde Health | $24,947 | 1.3× | 1 |
| BCBS TX | $31,265 | 1.6× | 11 |
| CHC Harris Health | $23,455 | 1.2× | 1 |
| Cigna | $36,505 | 1.8× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $23,924 | 1.2× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Imagine Health | $27,500 | 1.4× | 1 |
| Kelsey Care (Boon-Chapman) | $29,324 | 1.5× | 1 |
| Kelsey Seybold | $23,455 | 1.2× | 1 |
| Kindred Hospital | $26,973 | 1.4× | 1 |
| Oscar | $27,695 | 1.4× | 2 |
| Shared Health | $28,146 | 1.4× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Hca Houston Healthcare Conroe median $27,761 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $25,330 | 1.3× | 1 |
| Averde Health | $24,947 | 1.3× | 1 |
| BCBS TX | $31,265 | 1.6× | 7 |
| Cigna | $39,318 | 2.0× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $24,606 | 1.2× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Imagine Health | $27,500 | 1.4× | 1 |
| Kelsey Seybold | $24,124 | 1.2× | 1 |
| Oscar | $28,022 | 1.4× | 2 |
| Shared Health | $28,948 | 1.5× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Hca Houston Healthcare Kingwood median $27,959 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $26,179 | 1.3× | 1 |
| Averde Health | $24,947 | 1.3× | 1 |
| BCBS TX | $31,534 | 1.6× | 6 |
| CHC Harris Health | $24,932 | 1.3× | 1 |
| Cigna | $55,870 | 2.8× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $25,431 | 1.3× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Imagine Health | $27,500 | 1.4× | 1 |
| Kelsey Care (Boon-Chapman) | $29,324 | 1.5× | 1 |
| Kelsey Seybold | $24,932 | 1.3× | 1 |
| Oscar | $28,418 | 1.4× | 2 |
| Shared Health | $29,918 | 1.5× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| St. Luke's Health The Woodlands Hospital median $29,428 · local Medicare $19,819 · file 2026-02-28 | |||
| Bright Health | $26,747 | 1.3× | 1 |
| Centene/Superior/Ambetter | $29,319 | 1.5× | 1 |
| Cigna | $31,915 | 1.6× | 4 |
| Humana | $27,011 | 1.4× | 2 |
| Independent Med System | $32,003 | 1.6× | 1 |
| MultiPlan/PHCS (rental network) | $47,086 | 2.4× | 2 |
| NXHealth | $63,525 | 3.2× | 1 |
| Renaissance | $14,073 | 0.7× | 1 |
| UnitedHealthcare | $29,536 | 1.5× | 3 |
| Hca Houston Healthcare Southeast median $30,083 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $29,747 | 1.5× | 1 |
| Averde Health | $24,947 | 1.3× | 1 |
| BCBS TX | $31,534 | 1.6× | 6 |
| CHC Harris Health | $28,330 | 1.4× | 1 |
| Cigna | $53,882 | 2.7× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $28,897 | 1.5× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Imagine Health | $27,500 | 1.4× | 1 |
| Kelsey Seybold | $28,330 | 1.4× | 1 |
| Kindred Hospital | $32,580 | 1.6× | 1 |
| Oscar | $30,083 | 1.5× | 2 |
| Shared Health | $33,996 | 1.7× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Verda Health Plan | $33,996 | 1.7× | 1 |
| St. Luke's Health Sugar Land Hospital median $30,860 · local Medicare $19,819 · file 2026-02-28 | |||
| Bright Health | $26,747 | 1.3× | 1 |
| Centene/Superior/Ambetter | $30,860 | 1.6× | 1 |
| Cigna | $38,027 | 1.9× | 3 |
| Community Health Choice | $30,860 | 1.6× | 1 |
| Healthsmart (rental network) | $20,640 | 1.0× | 1 |
| Humana | $27,011 | 1.4× | 2 |
| Independent Med System | $32,003 | 1.6× | 1 |
| MultiPlan/PHCS (rental network) | $47,086 | 2.4× | 2 |
| NX Health | $66,863 | 3.4× | 1 |
| Renaissance | $14,813 | 0.7× | 1 |
| UnitedHealthcare | $29,536 | 1.5× | 3 |
| Hca Houston Healthcare Northwest median $31,534 · local Medicare $19,819 · file 2026-09-01 | |||
| American Health Plan | $30,661 | 1.5× | 1 |
| BCBS TX | $31,534 | 1.6× | 6 |
| Cigna | $53,882 | 2.7× | 6 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Devoted Health | $29,785 | 1.5× | 1 |
| Evry Health | $38,748 | 2.0× | 1 |
| Healthcare Highways (rental network) | $33,726 | 1.7× | 1 |
| Oscar | $30,510 | 1.5× | 2 |
| Shared Health | $35,042 | 1.8× | 1 |
| UnitedHealthcare | $12,800 | 0.6× | 1 |
| Baylor St. Luke's Medical Center median $31,847 · local Medicare $19,819 · file 2026-02-28 | |||
| Bright Health | $26,747 | 1.3× | 1 |
| Centene/Superior/Ambetter | $31,847 | 1.6× | 1 |
| Cigna | $38,027 | 1.9× | 3 |
| Community Health Choice | $31,847 | 1.6× | 1 |
| Employer Direct | $29,724 | 1.5× | 1 |
| Harris Health | $31,847 | 1.6× | 1 |
| Healthsmart (rental network) | $20,640 | 1.0× | 1 |
| Humana | $30,324 | 1.5× | 2 |
| Independent Med System | $32,003 | 1.6× | 1 |
| MultiPlan/PHCS (rental network) | $47,086 | 2.4× | 2 |
| NX Health | $69,002 | 3.5× | 1 |
| Renaissance | $15,287 | 0.8× | 1 |
| Tch | $17,881 | 0.9× | 1 |
| UnitedHealthcare | $38,090 | 1.9× | 3 |
| Houston Methodist Sugar Land Hospital median $37,514 · local Medicare $19,819 · file 2026-04-01 | |||
| BCBS TX | $37,797 | 1.9× | 1 |
| Cigna | $31,914 | 1.6× | 3 |
| Entrust | $38,590 | 1.9× | 1 |
| Texas Annual Conference | $37,231 | 1.9× | 2 |
| Houston Methodist The Woodlands Hospital median $37,797 · local Medicare $19,819 · file 2026-04-01 | |||
| Advanced Medical Pricing Solutions | $40,233 | 2.0× | 1 |
| BCBS TX | $37,797 | 1.9× | 1 |
| Cigna | $31,914 | 1.6× | 3 |
| Entrust | $38,590 | 1.9× | 1 |
| Texas Annual Conference | $35,505 | 1.8× | 2 |
| Houston Methodist West Hospital median $38,590 · local Medicare $19,819 · file 2026-04-01 | |||
| BCBS TX | $37,797 | 1.9× | 1 |
| Cigna | $31,914 | 1.6× | 3 |
| Entrust | $38,590 | 1.9× | 1 |
| Texas Annual Conference | $39,797 | 2.0× | 2 |
| Uae | $112,741 | 5.7× | 1 |
| Houston Methodist Baytown Hospital median $40,886 · local Medicare $19,819 · file 2026-04-01 | |||
| BCBS TX | $43,183 | 2.2× | 1 |
| Cigna | $31,914 | 1.6× | 3 |
| Entrust | $38,590 | 1.9× | 1 |
| Texas Annual Conference | $43,868 | 2.2× | 2 |
| Houston Methodist Hospital median $43,464 · local Medicare $19,819 · file 2026-04-01 | |||
| BCBS TX | $44,842 | 2.3× | 1 |
| Cigna | $42,063 | 2.1× | 3 |
| Entrust | $47,065 | 2.4× | 1 |
| Healthchoice | $23,845 | 1.2× | 1 |
| Texas Annual Conference | $42,087 | 2.1× | 2 |
| Uae | $119,226 | 6.0× | 1 |
| Memorial Hermann Sugar Land Hospital median $44,626 · local Medicare $19,819 · file 2026-04-01 | |||
| 90 Degrees | $44,626 | 2.3× | 1 |
| Memorial Hermann Memorial City Medical Center median $45,572 · local Medicare $19,819 · file 2026-04-01 | |||
| 90 Degrees | $45,572 | 2.3× | 1 |
| Memorial Hermann-Texas Medical Center median $59,274 · local Medicare $19,819 · file 2026-04-01 | |||
| 90 Degrees | $59,274 | 3.0× | 1 |
Questions
How much does shoulder replacement cost with commercial insurance in Houston TX?
19 Houston TX hospitals post usable commercial rates for CPT 23472, hospital outpatient. The median across hospitals is $24,271; hospital medians range from $12,856 to $33,466. Your cost depends on your plan's deductible and coinsurance.