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Shoulder replacement in Pennsylvania: what insurers pay

Posted commercial rates at 86 Pennsylvania 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
Upmc Passavant Pittsburgh$9,8240.6×12026-03-07
Upmc St Margaret Pittsburgh$10,2440.6×12026-03-06
Upmc East Monroeville$14,0780.8×22026-03-06
Upmc Hamot Erie$14,6550.9×32026-03-06
Upmc Presbyterian Shadyside Pittsburgh$15,7370.9×12026-03-06
Upmc Mercy Pittsburgh$16,0780.9×22026-03-06
Paoli Hospital Paoli$16,3821.0×22026-04-01
Riddle Memorial Hospital Media$16,3820.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$16,4780.9×22026-04-01
Lankenau Medical Center Wynnewood$16,4781.0×22026-04-01
Jefferson Lansdale Hospital Lansdale$17,7871.0×52026-09-15
Jefferson Abington Hospital Abington$17,7871.0×52026-09-15
Upmc Northwest Seneca$17,9501.1×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$18,0141.0×32026-04-08
Upmc Altoona Altoona$18,1741.1×12026-03-06
Upmc Jameson New Castle$18,3081.1×32026-03-06
Wellspan Evangelical Community Hospital Lewisburg$18,5761.1×62026-01-01
Wayne Memorial Hospital Honesdale$18,8291.1×12026-09-16
Thomas Jefferson University Hospital Philadelphia$21,5861.2×52026-09-15
Temple University Hospital Philadelphia$21,7481.2×92026-04-13
Upmc Memorial York$22,3091.3×52026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$22,5471.3×22026-09-21
Upmc Somerset Somerset$23,6701.4×22026-03-06
Wellspan Ephrata Community Hospital Ephrata$25,8051.5×32026-01-01
Wellspan Surgery And Rehabilitation Hospital York$25,8051.5×32026-01-01
Upmc Hanover Hanover$28,1091.6×32026-03-06
Upmc Carlisle Carlisle$28,1481.6×32026-03-06
Upmc Lititz Lititz$28,2611.6×32026-03-06
Upmc Washington Washington$31,3401.8×42026-03-06
St Luke'S Hospital Bethlehem Bethlehem$31,3981.8×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$31,3981.8×32026-02-27
Uniontown Hospital Uniontown$32,5201.9×42026-07-09
Saint Vincent Hospital Erie$32,7801.9×62026-04-14
Jefferson Hospital Jefferson Hills$33,3381.9×62026-04-14
St Luke'S Miners Memorial Hospital Coaldale$35,1702.1×22026-02-27
Allegheny Valley Hospital Natrona$37,3462.2×62026-04-14
Canonsburg General Hospital Canonsburg$37,4402.2×62026-04-14
Grove City Hospital Grove City$37,6302.2×52026-04-14
St Mary Medical Center Langhorne$38,4662.3×62026-03-31
Forbes Hospital Monroeville$38,4762.3×62026-04-14
St Clair Hospital Pittsburgh$39,1902.3×72026-03-31
Ahn Wexford Hospital Wexford$40,2722.4×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$41,8452.5×22026-02-26
Allegheny General Hospital Pittsburgh$46,2882.7×62026-04-14
West Penn Hospital Pittsburgh$46,5042.7×62026-04-14
Wellspan York Hospital York$57,3013.3×22026-01-01
St Luke'S Hospital - Easton Campus Easton$57,3333.2×22026-02-26
Penn State Health Hampden Medical Center Enola$58,5933.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$59,2373.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$60,1553.5×12026-03-27
Wellspan Chambersburg Hospital Chambersburg$64,6463.7×32026-01-01
Penn State Health St. Joseph Reading$77,5394.3×12026-03-27

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$18,8491.0×32026-08-06
Upmc Cole Coudersport$19,5201.0×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$19,9331.0×72026-07-01
Conemaugh Miners Medical Center Hastings$21,1961.1×52026-07-30
Punxsutawney Area Hospital Punxsutawney$22,9931.2×72026-03-02
Upmc Horizon Greenville$23,1351.2×32026-03-06
Upmc Northwest Seneca$23,3761.2×22026-03-06
Nazareth Hospital Philadelphia$23,7311.2×12026-03-31
Upmc Bedford Memorial Everett$23,7981.2×22026-03-06
Upmc Kane Kane$24,1481.3×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$24,3231.3×72026-07-30
Upmc Somerset Somerset$24,5241.3×42026-03-06
Titusville Area Hospital Titusville$25,4621.3×52026-09-11
Troy Community Hospital Troy$25,5721.3×52026-03-31
Upmc Jameson New Castle$26,0191.4×42026-03-06
Upmc Washington Washington$26,9621.4×72026-03-06
Uniontown Hospital Uniontown$27,3561.4×62026-07-09
Upmc East Monroeville$27,8521.4×22026-03-06
Upmc Hamot Erie$28,2041.5×32026-03-06
Upmc Mckeesport Mc Keesport$28,6511.5×22026-03-06
Upmc St Margaret Pittsburgh$29,6061.5×22026-03-06
Roxborough Memorial Hospital Philadelphia$30,2241.5×62024-06-21
Geisinger-Lewistown Hospital Lewistown$30,5801.6×72026-07-01
Upmc Mercy Pittsburgh$30,7711.6×22026-03-06
Upmc Passavant Pittsburgh$30,9651.6×22026-03-07
Conemaugh Memorial Medical Center Johnstown$31,2471.6×82026-04-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0261.7×52026-02-26
Wayne Memorial Hospital Honesdale$32,6761.7×62026-09-16
Lower Bucks Hospital Bristol$33,6261.8×62026-09-01
Holy Redeemer Hospital And Medical Center Meadowbrook$33,9061.8×62026-09-21
Temple Health - Chestnut Hill Hospital Philadelphia$34,6491.7×82026-04-08
Robert Packer Hospital Sayre$35,2951.8×72026-03-31
Upmc Altoona Altoona$35,9471.9×52026-03-06
Upmc Presbyterian Shadyside Pittsburgh$36,8221.9×22026-03-06
St Mary Medical Center Langhorne$36,8791.9×202026-03-31
St Luke'S Miners Memorial Hospital Coaldale$36,9951.9×42026-02-27
St Clair Hospital Pittsburgh$37,2271.9×72026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$37,9842.0×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$39,7532.1×62026-07-01
Jefferson Lansdale Hospital Lansdale$41,5772.2×92026-09-15
Upmc Williamsport Williamsport$41,8252.2×32026-03-06
Upmc Muncy Muncy$41,8252.2×32026-03-06
Upmc Wellsboro Wellsboro$41,8252.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$41,9642.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$41,9642.1×52026-02-27
Upmc Memorial York$43,1512.2×82026-03-06
Riddle Memorial Hospital Media$43,7052.1×42026-04-01
Geisinger St. Luke'S Hospital Orwigsburg$43,8582.3×42026-02-26
Lehigh Valley Hospital Allentown$44,2892.2×52026-07-01
Paoli Hospital Paoli$44,4302.3×42026-04-01
Upmc Lititz Lititz$44,4392.3×72026-03-06
St Luke'S Hospital - Easton Campus Easton$44,9452.2×42026-02-26
Hospital Of The Fox Chase Cancer Center Philadelphia$45,4852.2×52026-04-08
St Luke'S Hospital - Monroe Campus Stroudsburg$45,7532.4×52026-02-27
Jefferson Abington Hospital Abington$45,9222.4×92026-09-15
Bryn Mawr Hospital Bryn Mawr$48,1722.4×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$48,5082.4×72026-07-01
Wellspan Chambersburg Hospital Chambersburg$48,9162.5×32026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$49,8062.6×62026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$49,8062.6×62026-07-01
Upmc Carlisle Carlisle$50,0502.5×72026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$50,8472.6×62026-09-15
Temple University Hospital Philadelphia$51,4062.5×102026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$52,2482.6×42026-03-27
Penn State Health St. Joseph Reading$52,2482.6×42026-03-27
Penn State Health Hampden Medical Center Enola$52,2482.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$52,2482.7×42026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$54,2172.8×72026-07-01
Upmc Hanover Hanover$55,8932.9×72026-03-06
Lankenau Medical Center Wynnewood$55,9502.9×42026-04-01
Jefferson Health-Northeast Philadelphia$57,1002.8×62026-09-15
Geisinger Community Medical Center Scranton$57,3083.0×82026-07-01
Wellspan Ephrata Community Hospital Ephrata$58,1213.0×52026-01-01
Wellspan Surgery And Rehabilitation Hospital York$64,1983.3×42026-01-01
Wellspan York Hospital York$73,1903.8×42026-01-01
Thomas Jefferson University Hospital Philadelphia$73,7303.6×92026-09-15

Questions

How much do insurers pay for shoulder replacement in Pennsylvania?

86 Pennsylvania hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 52 hospitals is $28,129, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.