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Shoulder replacement in Ohio: what insurers pay

Posted commercial rates at 67 Ohio hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Akron Children'S Hospital Akron$10,9490.7×12025-11-11
University Hospitals St. John Medical Center Westlake$11,4260.7×22026-07-14
University Hospitals Conneaut Medical Center Conneaut$12,4710.8×12026-07-14
University Hospitals - Elyria Medical Center Elyria$13,5200.8×22026-07-14
University Hospitals Portage Medical Center Ravenna$14,4190.9×12026-07-14
Cleveland Clinic (main campus) Cleveland$16,5881.0×52026-06-16
Parma Community General Hospital Parma$16,7151.0×22026-07-14
Union Hospital Dover$17,4181.1×22026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$17,4181.1×42026-06-15
Marymount Hospital Garfield Heights$17,4181.1×42026-06-15
Euclid Hospital Euclid$18,2471.1×32026-06-15
Medina Hospital Medina$18,2471.1×52026-06-15
South Pointe Hospital Warrensville Heights$18,2471.1×32026-06-15
University Hospitals Ahuja Medical Center Beachwood$18,4831.1×22026-07-14
Fisher-Titus Hospital Norwalk$18,7821.1×42026-04-29
Mercy Medical Center Canton$19,3661.2×22026-06-15
Bethesda North Cincinnati$25,6311.5×32026-04-01
University Of Cincinnati Medical Center, Llc Cincinnati$27,9661.6×42026-07-01
Adena Regional Medical Center Chillicothe$28,0661.7×42026-08-19
Cleveland Clinic Fairview Hospital Cleveland$29,4581.8×42026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$29,4581.8×42026-06-15
Akron General Medical Center Akron$30,0101.8×42026-06-15
Miami Valley Hospital Dayton$31,1201.8×22026-04-01
Atrium Medical Center Franklin$31,1781.8×22026-04-01
Upper Valley Medical Center Troy$31,5841.8×22026-04-01
West Chester Hospital, Llc West Chester$31,9101.9×32026-07-01
MetroHealth System Cleveland$34,8362.1×52026-04-01
Adena Fayette Medical Center Washington Ch$35,8272.2×12026-08-19
Adena Pike Medical Center Waverly$35,8272.2×12026-08-19
Kettering Health Greene Memorial Xenia$38,0052.2×52026-04-01
Kettering Health Main Campus Kettering$38,0052.2×52026-04-01
Kettering Health Dayton Dayton$38,0052.2×52026-04-01
Kettering Health Miamisburg Miamisburg$38,0052.2×52026-04-01
Soin Medical Center Beaver Creek$38,0052.2×52026-04-01
Kettering Health Troy Troy$38,0052.2×52026-04-01
Summa Health System Akron$38,1882.3×62026-04-01
Mount Carmel Dublin Dublin$38,2092.3×72026-03-31
Mccullough-Hyde Memorial Hospital Oxford$40,9802.4×72026-04-01
Marietta Memorial Hospital Marietta$41,4712.5×12026-10-01
Good Samaritan Hospital Cincinnati$41,9772.5×62026-04-01
Aultman Hospital Canton$46,0382.8×22026-04-01
Lima Memorial Health System Lima$48,5332.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$53,7413.2×12026-04-01
Alliance Community Hospital Alliance$59,8863.6×12026-04-01
Aultman Orrville Hospital Orrville$59,8863.6×12026-04-01
Mount Carmel East Columbus$63,0653.7×212026-03-31
Mount Carmel New Albany Surgical Hospital New Albany$63,0653.7×212026-03-31
Salem Regional Medical Center Salem$67,3944.1×22026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Fisher-Titus Hospital Norwalk$17,8051.0×32026-04-29
Wood County Hospital Bowling Green$19,8311.1×32024-06-30
Mercy Health - Tiffin Hospital Tiffin$20,2431.1×32026-04-01
Alliance Community Hospital Alliance$22,9101.2×52026-04-01
Adena Pike Medical Center Waverly$24,8441.3×12026-08-19
Aultman Orrville Hospital Orrville$25,4741.4×12026-04-01
Coshocton Regional Medical Center Coshocton$25,6971.4×52026-09-01
University Hospitals Samaritan Medical Center Ashland$26,2781.4×12026-07-14
University Hospitals Conneaut Medical Center Conneaut$27,6071.5×72026-07-14
Union Hospital Dover$27,8521.5×52026-06-15
East Liverpool City Hospital East Liverpool$28,9811.6×52026-09-01
Akron General Medical Center Akron$34,1461.8×82026-06-15
Cleveland Clinic Fairview Hospital Cleveland$34,2821.8×82026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$34,2821.8×82026-06-15
Parma Community General Hospital Parma$34,5681.9×92026-07-14
University Hospitals - Elyria Medical Center Elyria$34,5681.9×92026-07-14
University Hospitals St. John Medical Center Westlake$35,1281.9×82026-07-14
University Hospitals Ahuja Medical Center Beachwood$35,9561.9×102026-07-14
University Hospitals Portage Medical Center Ravenna$36,2431.9×92026-07-14
Summa Health System Akron$37,6582.0×82026-04-01
West Chester Hospital, Llc West Chester$37,9572.0×142026-07-01
MetroHealth System Cleveland$38,3522.1×92026-04-01
Wilson Memorial Hospital Sidney$38,6012.1×22026-09-27
Aultman Hospital Canton$40,5222.2×62026-04-01
Mercy Health - West Hospital Cincinnati$41,3902.2×52026-04-01
Mercy Health - Clermont Hospital Batavia$41,3902.2×82026-04-01
Mercy Health Kings Mills Hospital Llc Mason$41,3902.2×82026-04-01
Mercy Health - Fairfield Hospital Fairfield$41,6342.2×82026-04-01
Mercy Health-Anderson Hospital Cincinnati$41,8002.2×82026-04-01
Euclid Hospital Euclid$42,4412.3×92026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$42,4412.3×92026-06-15
Marymount Hospital Garfield Heights$42,4412.3×92026-06-15
South Pointe Hospital Warrensville Heights$42,4412.3×92026-06-15
Medina Hospital Medina$42,8162.3×82026-06-15
Mercy Medical Center Canton$43,8722.4×62026-06-15
Lima Memorial Health System Lima$44,6862.4×22026-04-01
Mercy Health-Lorain Hospital Lorain$44,8442.4×82026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$45,6812.5×22026-04-01
University Hospitals Cleveland Medical Center Cleveland$46,7722.5×102026-07-14
Selby General Hospital Marietta$47,1642.5×32026-10-01
Mercy Health St Vincent Medical Center Toledo$47,4822.5×82026-04-01
Adena Regional Medical Center Chillicothe$47,6322.6×62026-08-19
Kettering Health Greene Memorial Xenia$47,7462.5×62026-04-01
Marietta Memorial Hospital Marietta$48,4692.6×42026-10-01
Mccullough-Hyde Memorial Hospital Oxford$48,4862.5×72026-04-01
Bethesda North Cincinnati$48,4862.5×52026-04-01
Kettering Health Troy Troy$48,5932.5×62026-04-01
Mercy Health - Springfield Regional Medical Center Springfield$49,3792.5×72026-04-01
Kettering Health Miamisburg Miamisburg$49,4072.6×62026-04-01
Kettering Health Main Campus Kettering$49,4342.6×62026-04-01
Kettering Health Dayton Dayton$49,4342.6×62026-04-01
Soin Medical Center Beaver Creek$49,4342.6×62026-04-01
Cleveland Clinic (main campus) Cleveland$49,9502.7×132026-06-16
The Jewish Hospital-Mercy Health Cincinnati$51,7222.7×82026-04-01
Good Samaritan Hospital Cincinnati$51,9902.7×92026-04-01
Miami Valley Hospital Dayton$54,4122.8×22026-04-01
University Of Cincinnati Medical Center, Llc Cincinnati$54,7152.9×152026-07-01
Ohio State University Hospitals Columbus$56,3423.0×52026-07-01
Atrium Medical Center Franklin$56,9503.0×32026-04-01
Upper Valley Medical Center Troy$56,9503.0×32026-04-01
Mount Carmel Dublin Dublin$57,7913.0×102026-03-31
Lodi Community Hospital Lodi$62,1003.3×12026-06-15
Salem Regional Medical Center Salem$69,9413.8×42026-04-01
Mount Carmel East Columbus$74,2793.9×242026-03-31
Mount Carmel New Albany Surgical Hospital New Albany$74,2793.9×242026-03-31

Questions

How much do insurers pay for shoulder replacement in Ohio?

67 Ohio hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 48 hospitals is $31,381, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.