Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement in Pennsylvania: what insurers pay
Posted commercial rates at 22 Pennsylvania hospitals, each next to its own Medicare base rate.
Open in the explorerAll statesEvery bill for the whole procedure
CPT 23472
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Upmc Passavant Pittsburgh | $9,824 | 0.6× | 1 | 2026-03-07 |
| Upmc St Margaret Pittsburgh | $10,244 | 0.6× | 1 | 2026-03-06 |
| Upmc East Monroeville | $10,244 | 0.6× | 1 | 2026-03-06 |
| Upmc Mercy Pittsburgh | $14,163 | 0.8× | 1 | 2026-03-06 |
| Jefferson Abington Hospital Abington | $14,511 | 0.8× | 4 | 2026-09-15 |
| Upmc Presbyterian Shadyside Pittsburgh | $15,737 | 0.9× | 1 | 2026-03-06 |
| Riddle Memorial Hospital Media | $16,382 | 0.9× | 2 | 2026-04-01 |
| Paoli Hospital Paoli | $16,382 | 1.0× | 2 | 2026-04-01 |
| Bryn Mawr Hospital Bryn Mawr | $16,478 | 0.9× | 2 | 2026-04-01 |
| Lankenau Medical Center Wynnewood | $16,478 | 1.0× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital Philadelphia | $19,831 | 1.1× | 4 | 2026-09-15 |
| Temple University Hospital Philadelphia | $22,384 | 1.2× | 6 | 2026-04-13 |
| Upmc Washington Washington | $32,004 | 1.9× | 2 | 2026-03-06 |
| Jefferson Hospital Jefferson Hills | $43,097 | 2.5× | 5 | 2026-04-14 |
| Allegheny Valley Hospital Natrona | $44,654 | 2.6× | 5 | 2026-04-14 |
| Forbes Hospital Monroeville | $50,421 | 3.0× | 5 | 2026-04-14 |
| Ahn Wexford Hospital Wexford | $53,782 | 3.1× | 5 | 2026-04-14 |
| Allegheny General Hospital Pittsburgh | $58,702 | 3.4× | 5 | 2026-04-14 |
MS-DRG 483
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Upmc Washington Washington | $25,029 | 1.3× | 4 | 2026-03-06 |
| Upmc St Margaret Pittsburgh | $30,659 | 1.6× | 1 | 2026-03-06 |
| Upmc East Monroeville | $31,074 | 1.6× | 1 | 2026-03-06 |
| Upmc Mercy Pittsburgh | $31,526 | 1.6× | 1 | 2026-03-06 |
| Upmc Passavant Pittsburgh | $36,194 | 1.9× | 1 | 2026-03-07 |
| Upmc Presbyterian Shadyside Pittsburgh | $40,283 | 2.1× | 1 | 2026-03-06 |
| Jefferson Abington Hospital Abington | $43,612 | 2.3× | 6 | 2026-09-15 |
| Riddle Memorial Hospital Media | $43,705 | 2.1× | 4 | 2026-04-01 |
| Lehigh Valley Hospital Allentown | $44,289 | 2.2× | 5 | 2026-07-01 |
| Paoli Hospital Paoli | $44,430 | 2.3× | 4 | 2026-04-01 |
| Jefferson Einstein Montgomery Hospital East Norriton | $45,164 | 2.4× | 5 | 2026-09-15 |
| Magee Womens Hospital Of Upmc Health System Pittsburgh | $47,949 | 2.5× | 1 | 2026-03-06 |
| Bryn Mawr Hospital Bryn Mawr | $48,172 | 2.4× | 4 | 2026-04-01 |
| Temple University Hospital Philadelphia | $51,406 | 2.5× | 7 | 2026-04-13 |
| Lankenau Medical Center Wynnewood | $55,950 | 2.9× | 4 | 2026-04-01 |
| Jefferson Health-Northeast Philadelphia | $56,530 | 2.8× | 5 | 2026-09-15 |
| Thomas Jefferson University Hospital Philadelphia | $67,935 | 3.4× | 5 | 2026-09-15 |
Questions
How much do insurers pay for shoulder replacement in Pennsylvania?
22 Pennsylvania hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 18 hospitals is $16,478, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.