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Shoulder replacement in Ohio: what insurers pay

Posted commercial rates at 15 Ohio hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic (main campus) Cleveland$11,3620.7×22026-06-16
University Hospitals St. John Medical Center Westlake$12,1900.7×12026-07-14
University Hospitals - Elyria Medical Center Elyria$15,1000.9×12026-07-14
Medina Hospital Medina$20,9831.3×22026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$23,2201.4×22026-06-15
Marymount Hospital Garfield Heights$23,2201.4×22026-06-15
Bethesda North Cincinnati$25,6311.5×32026-04-01
MetroHealth System Cleveland$35,8822.2×22026-04-01
Cleveland Clinic Hillcrest Hospital Mayfield Heights$40,6702.5×12026-06-15
Cleveland Clinic Fairview Hospital Cleveland$40,6702.5×12026-06-15
Mount Carmel New Albany Surgical Hospital New Albany$63,0653.7×172026-03-31
Mount Carmel East Columbus$63,0653.7×162026-03-31

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic (main campus) Cleveland$23,1001.2×52026-06-16
University Hospitals - Elyria Medical Center Elyria$25,7791.4×32026-07-14
Cleveland Clinic Hillcrest Hospital Mayfield Heights$35,0761.9×42026-06-15
Cleveland Clinic Fairview Hospital Cleveland$35,0761.9×42026-06-15
MetroHealth System Cleveland$35,3891.9×42026-04-01
University Hospitals Ahuja Medical Center Beachwood$37,1982.0×22026-07-14
University Hospitals St. John Medical Center Westlake$38,1722.0×32026-07-14
Cleveland Clinic Lutheran Hospital Cleveland$43,1922.3×52026-06-15
Marymount Hospital Garfield Heights$43,1922.3×52026-06-15
Medina Hospital Medina$44,2482.4×42026-06-15
University Hospitals Cleveland Medical Center Cleveland$46,7002.5×42026-07-14
Bethesda North Cincinnati$48,4862.5×52026-04-01
Ohio State University Hospitals Columbus$61,4813.2×32026-07-01
Mount Carmel New Albany Surgical Hospital New Albany$74,2793.9×202026-03-31
Mount Carmel East Columbus$74,2793.9×192026-03-31

Questions

How much do insurers pay for shoulder replacement in Ohio?

15 Ohio hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 12 hospitals is $24,426, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.