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 $25,839 · local Medicare $21,887 · file 2026-04-01 | |||
| 1199SEIU | $29,174 | 1.3× | 1 |
| Aetna | $24,470 | 1.1× | 2 |
| Christian Brothers | $25,839 | 1.2× | 1 |
| Elevance/Anthem/Empire | $12,564 | 0.6× | 5 |
| EmblemHealth | $21,250 | 1.0× | 6 |
| Healthfirst | $18,604 | 0.9× | 1 |
| Nat Assoc Letter Carriers | $25,839 | 1.2× | 1 |
| Nippon Life Insurance | $25,839 | 1.2× | 1 |
| Northwell | $67,631 | 3.1× | 1 |
| Point Comfort | $21,887 | 1.0× | 1 |
| UnitedHealthcare | $27,952 | 1.3× | 3 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $27,296 · local Medicare $21,887 · file 2026-09-05 | |||
| Magnacare (rental network) | $26,114 | 1.2× | 4 |
| Oscar | $32,831 | 1.5× | 1 |
| Vaccn | $21,762 | 1.0× | 1 |
| Elmhurst Hospital Center median $27,296 · local Medicare $21,887 · file 2026-09-05 | |||
| Magnacare (rental network) | $26,114 | 1.2× | 4 |
| Oscar | $32,831 | 1.5× | 1 |
| Vaccn | $21,762 | 1.0× | 1 |
| Jacobi Medical Center median $32,831 · local Medicare $21,887 · file 2026-09-05 | |||
| 1199SEIU | $33,507 | 1.5× | 1 |
| Magnacare (rental network) | $26,114 | 1.2× | 4 |
| Oscar | $32,831 | 1.5× | 1 |
| Vaccn | $21,762 | 1.0× | 1 |
| South Brooklyn Health median $32,831 · local Medicare $21,887 · file 2026-09-05 | |||
| 1199SEIU | $33,507 | 1.5× | 1 |
| Magnacare (rental network) | $26,114 | 1.2× | 4 |
| Oscar | $32,831 | 1.5× | 1 |
| Vaccn | $21,762 | 1.0× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $36,958 · 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 |
| Centerlight | $22,196 | 1.0× | 2 |
| Cigna | $46,959 | 2.1× | 22 |
| Elevance/Anthem/Empire | $24,258 | 1.1× | 32 |
| EmblemHealth | $42,813 | 2.0× | 51 |
| Magnacare (rental network) | $27,121 | 1.2× | 10 |
| UnitedHealthcare | $34,807 | 1.6× | 24 |
| Hospital for Special Surgery median $48,189 · local Medicare $21,887 · file 2026-04-01 | |||
| Aetna | $47,671 | 2.2× | 17 |
| Apwu | $48,189 | 2.2× | 1 |
| BCBS (other) | $22,018 | 1.0× | 3 |
| Christian Brothers | $47,671 | 2.2× | 1 |
| Cigna | $48,189 | 2.2× | 13 |
| Connecticare | $67,729 | 3.1× | 1 |
| Elevance/Anthem/Empire | $22,723 | 1.0× | 10 |
| EmblemHealth | $67,729 | 3.1× | 14 |
| Harvard Pilgrim | $87,240 | 4.0× | 2 |
| Nalc | $48,189 | 2.2× | 1 |
| Nippon Life | $47,671 | 2.2× | 1 |
| Qualcare | $48,189 | 2.2× | 1 |
| Student Resources | $70,479 | 3.2× | 1 |
| UnitedHealthcare | $73,337 | 3.4× | 25 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $22,709 · local Medicare $25,087 · file 2026-04-01 | |||
| EmblemHealth | $25,051 | 1.0× | 1 |
| Point Comfort | $20,367 | 0.8× | 1 |
| Jamaica Hospital Medical Center median $43,380 · local Medicare $25,087 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $41,620 | 1.7× | 1 |
| Aetna | $45,140 | 1.8× | 4 |
| Centerlight Healthcare | $38,733 | 1.5× | 1 |
| Centivo | $47,697 | 1.9× | 1 |
| Cigna | $45,304 | 1.8× | 1 |
| Create Health Plan | $60,413 | 2.4× | 1 |
| Elderplan | $38,733 | 1.5× | 1 |
| EmblemHealth | $41,523 | 1.7× | 3 |
| South Brooklyn Health median $51,907 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $58,276 | 2.3× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $51,300 | 2.0× | 3 |
| Vaccn | $42,534 | 1.7× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $51,984 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $54,052 | 2.2× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $43,710 | 1.7× | 3 |
| Vaccn | $66,002 | 2.6× | 1 |
| Elmhurst Hospital Center median $53,391 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $74,157 | 3.0× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $53,391 | 2.1× | 4 |
| Vaccn | $61,689 | 2.5× | 1 |
| Hospital for Special Surgery median $53,780 · local Medicare $25,087 · file 2026-04-01 | |||
| Aetna | $53,780 | 2.1× | 17 |
| Apwu | $51,546 | 2.1× | 1 |
| BCBS (other) | $42,512 | 1.7× | 2 |
| Christian Brothers | $53,780 | 2.1× | 1 |
| Cigna | $51,546 | 2.1× | 13 |
| Connecticare | $79,386 | 3.2× | 1 |
| EmblemHealth | $79,386 | 3.2× | 14 |
| Harvard Pilgrim | $87,240 | 3.5× | 2 |
| Nalc | $51,546 | 2.1× | 1 |
| Nippon Life | $53,780 | 2.1× | 1 |
| Qualcare | $51,546 | 2.1× | 1 |
| Student Resources | $70,479 | 2.8× | 1 |
| UnitedHealthcare | $73,337 | 2.9× | 25 |
| Jacobi Medical Center median $54,430 · 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× | 1 |
| MultiPlan/PHCS (rental network) | $74,852 | 3.0× | 1 |
| Oscar | $51,984 | 2.1× | 1 |
| UnitedHealthcare | $77,145 | 3.1× | 3 |
| Vaccn | $46,722 | 1.9× | 1 |
| Maimonides Medical Center median $80,743 · local Medicare $25,087 · file 2026-04-01 | |||
| 1199SEIU | $47,641 | 1.9× | 1 |
| Aetna | $80,823 | 3.2× | 3 |
| Centivo | $85,208 | 3.4× | 1 |
| Cigna | $79,836 | 3.2× | 3 |
| Elevance/Anthem/Empire | $85,422 | 3.4× | 2 |
| EmblemHealth | $79,578 | 3.2× | 3 |
| Magnacare (rental network) | $95,492 | 3.8× | 1 |
| UnitedHealthcare | $80,743 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $84,683 · 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 |
| Centerlight | $28,347 | 1.1× | 2 |
| Cigna | $80,407 | 3.2× | 22 |
| Elevance/Anthem/Empire | $114,421 | 4.6× | 57 |
| EmblemHealth | $69,949 | 2.8× | 51 |
| Magnacare (rental network) | $120,564 | 4.8× | 17 |
| 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 $30,064; hospital medians range from $21,792 to $48,189. Your cost depends on your plan's deductible and coinsurance.