Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement in New York City
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 |
|---|---|---|---|
| Maimonides Medical Center median $21,792 · local Medicare $21,887 · file 2026-04-01 | |||
| 1199SEIU | $21,792 | 1.0× | 1 |
| Elevance/Anthem/Empire | $11,319 | 0.5× | 2 |
| EmblemHealth | $66,537 | 3.0× | 1 |
| Montefiore Medical Center median $22,860 · local Medicare $21,887 · file 2026-04-01 | |||
| 1199SEIU | $29,174 | 1.3× | 1 |
| Aetna | $24,470 | 1.1× | 2 |
| Elevance/Anthem/Empire | $12,564 | 0.6× | 5 |
| EmblemHealth | $21,250 | 1.0× | 6 |
| Healthfirst | $18,604 | 0.9× | 1 |
| UnitedHealthcare | $27,952 | 1.3× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $32,831 · local Medicare $21,887 · file 2026-09-05 | |||
| Oscar | $32,831 | 1.5× | 1 |
| Elmhurst Hospital Center median $32,831 · local Medicare $21,887 · file 2026-09-05 | |||
| Oscar | $32,831 | 1.5× | 1 |
| Jacobi Medical Center median $33,169 · local Medicare $21,887 · file 2026-09-05 | |||
| 1199SEIU | $33,507 | 1.5× | 1 |
| Oscar | $32,831 | 1.5× | 1 |
| South Brooklyn Health median $33,169 · local Medicare $21,887 · file 2026-09-05 | |||
| 1199SEIU | $33,507 | 1.5× | 1 |
| Oscar | $32,831 | 1.5× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $39,109 · local Medicare $21,887 · file 2026-01-01 | |||
| 1199SEIU | $55,756 | 2.5× | 3 |
| Aetna | $39,109 | 1.8× | 24 |
| BCBS (other) | $24,258 | 1.1× | 16 |
| Cigna | $46,959 | 2.1× | 22 |
| Elevance/Anthem/Empire | $24,258 | 1.1× | 32 |
| EmblemHealth | $42,813 | 2.0× | 51 |
| UnitedHealthcare | $34,807 | 1.6× | 24 |
| Hospital for Special Surgery median $47,930 · local Medicare $21,887 · file 2026-04-01 | |||
| Aetna | $47,671 | 2.2× | 17 |
| BCBS (other) | $22,018 | 1.0× | 3 |
| Cigna | $48,189 | 2.2× | 13 |
| Elevance/Anthem/Empire | $22,723 | 1.0× | 10 |
| EmblemHealth | $67,729 | 3.1× | 14 |
| UnitedHealthcare | $73,337 | 3.4× | 25 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $25,051 · local Medicare $25,087 · file 2026-04-01 | |||
| EmblemHealth | $25,051 | 1.0× | 1 |
| Jamaica Hospital Medical Center median $45,140 · local Medicare $25,087 · file 2026-03-25 | |||
| Aetna | $45,140 | 1.8× | 4 |
| Cigna | $45,304 | 1.8× | 1 |
| EmblemHealth | $41,523 | 1.7× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $51,946 · local Medicare $25,087 · file 2026-09-05 | |||
| 1199SEIU | $36,536 | 1.5× | 1 |
| Aetna | $51,907 | 2.1× | 1 |
| Cigna | $54,430 | 2.2× | 1 |
| EmblemHealth | $55,128 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $54,052 | 2.2× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $43,710 | 1.7× | 3 |
| South Brooklyn Health median $51,946 · local Medicare $25,087 · file 2026-09-05 | |||
| 1199SEIU | $36,536 | 1.5× | 1 |
| Aetna | $51,907 | 2.1× | 1 |
| Cigna | $54,430 | 2.2× | 1 |
| EmblemHealth | $55,128 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $58,276 | 2.3× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $51,300 | 2.0× | 3 |
| Elmhurst Hospital Center median $52,688 · local Medicare $25,087 · file 2026-09-05 | |||
| 1199SEIU | $36,536 | 1.5× | 1 |
| Aetna | $51,907 | 2.1× | 1 |
| Cigna | $54,430 | 2.2× | 1 |
| EmblemHealth | $55,128 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $74,157 | 3.0× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $53,391 | 2.1× | 4 |
| Hospital for Special Surgery median $53,780 · local Medicare $25,087 · file 2026-04-01 | |||
| Aetna | $53,780 | 2.1× | 17 |
| BCBS (other) | $42,512 | 1.7× | 2 |
| Cigna | $51,546 | 2.1× | 13 |
| EmblemHealth | $79,386 | 3.2× | 14 |
| UnitedHealthcare | $73,337 | 2.9× | 25 |
| Jacobi Medical Center median $54,779 · local Medicare $25,087 · file 2026-09-05 | |||
| 1199SEIU | $36,536 | 1.5× | 1 |
| Aetna | $65,162 | 2.6× | 1 |
| Cigna | $54,430 | 2.2× | 1 |
| EmblemHealth | $55,128 | 2.2× | 2 |
| MultiPlan/PHCS (rental network) | $74,852 | 3.0× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $77,145 | 3.1× | 3 |
| Maimonides Medical Center median $80,289 · local Medicare $25,087 · file 2026-04-01 | |||
| 1199SEIU | $47,641 | 1.9× | 1 |
| Aetna | $80,823 | 3.2× | 3 |
| Cigna | $79,836 | 3.2× | 3 |
| Elevance/Anthem/Empire | $85,422 | 3.4× | 2 |
| EmblemHealth | $79,578 | 3.2× | 3 |
| UnitedHealthcare | $80,742 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $88,959 · local Medicare $25,087 · file 2026-01-01 | |||
| 1199SEIU | $88,959 | 3.5× | 3 |
| Aetna | $72,302 | 2.9× | 24 |
| BCBS (other) | $114,421 | 4.6× | 25 |
| Cigna | $80,407 | 3.2× | 22 |
| Elevance/Anthem/Empire | $114,421 | 4.6× | 57 |
| EmblemHealth | $69,949 | 2.8× | 51 |
| UnitedHealthcare | $105,887 | 4.2× | 46 |
Questions
How much does shoulder replacement cost with commercial insurance in New York City?
8 New York City hospitals post usable commercial rates for CPT 23472, hospital outpatient. The median across hospitals is $33,000; hospital medians range from $21,792 to $47,930. Your cost depends on your plan's deductible and coinsurance.