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Shoulder replacement in Illinois: what insurers pay

Posted commercial rates at 12 Illinois hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Loyola University Medical Center Maywood$15,4570.8×12026-03-31
Endeavor Health Northwest Community Hospital Arlington Heights$16,7640.9×22026-04-01
Endeavor Health Evanston Hospital Evanston$26,1561.4×12026-04-01
Advocate Christ Medical Center Oak Lawn$27,8131.5×12025-11-04
Advocate Lutheran General Hospital Park Ridge$27,8131.5×12025-11-04
University of Chicago Medical Center Chicago$29,0131.5×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$30,2701.6×12026-04-01
Endeavor Health Edward Hospital Naperville$30,2701.6×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$22,0841.0×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$24,2011.1×32026-04-01
Endeavor Health Edward Hospital Naperville$27,9351.3×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$30,9791.5×32026-04-01
Endeavor Health Evanston Hospital Evanston$35,5671.7×32026-04-01
Alton Memorial Hospital Alton$36,6871.7×52025-12-15
Northwestern Medicine Central DuPage Hospital Winfield$36,8471.7×12026-04-01
Loyola University Medical Center Maywood$37,7171.8×42026-03-31
Rush University Medical Center Chicago$42,4472.0×42026-09-25
Advocate Christ Medical Center Oak Lawn$43,0782.0×42025-11-04
Advocate Lutheran General Hospital Park Ridge$43,0782.0×42025-11-04
University of Chicago Medical Center Chicago$51,5572.4×52026-04-01

Questions

How much do insurers pay for shoulder replacement in Illinois?

12 Illinois hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 8 hospitals is $27,813, 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.