Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement in San Diego CA
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 |
|---|---|---|---|
| Tri-City Medical Center median $33,827 · local Medicare $22,551 · file 2026-05-29 | |||
| Bright Health | $36,082 | 1.6× | 1 |
| Elevance/Anthem/Empire | $35,631 | 1.6× | 1 |
| Health Net | $32,249 | 1.4× | 1 |
| Kaiser Permanente | $33,827 | 1.5× | 1 |
| Providence Health Plan | $31,572 | 1.4× | 1 |
| Palomar Health Downtown Campus median $38,834 · local Medicare $22,551 · file 2026-04-01 | |||
| Health Net | $41,585 | 1.8× | 1 |
| Scripps | $36,082 | 1.6× | 1 |
| Scripps Mercy Hospital median $39,465 · local Medicare $22,551 · file 2026-03-30 | |||
| Health Net | $56,379 | 2.5× | 1 |
| Prime Healthcare | $38,337 | 1.7× | 1 |
| Prospect Med Group | $39,465 | 1.8× | 1 |
| Scripps Memorial Hospital La Jolla median $39,465 · local Medicare $22,551 · file 2026-03-30 | |||
| Health Net | $56,379 | 2.5× | 1 |
| Prime Healthcare | $38,337 | 1.7× | 1 |
| Prospect Med Group | $39,465 | 1.8× | 1 |
| Scripps Green Hospital median $39,465 · local Medicare $22,551 · file 2026-03-30 | |||
| Health Net | $56,379 | 2.5× | 1 |
| Prime Healthcare | $38,337 | 1.7× | 1 |
| Prospect Med Group | $39,465 | 1.8× | 1 |
| Scripps Memorial Hospital - Encinitas median $39,465 · local Medicare $22,551 · file 2026-03-30 | |||
| Health Net | $56,379 | 2.5× | 1 |
| Prime Healthcare | $38,337 | 1.7× | 1 |
| Prospect Med Group | $39,465 | 1.8× | 1 |
| Palomar Medical Center Poway median $41,585 · local Medicare $22,551 · file 2026-04-01 | |||
| Health Net | $41,585 | 1.8× | 1 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $31,484 · local Medicare $25,906 · file 2026-03-30 | |||
| Aetna | $71,629 | 2.8× | 5 |
| Blue Shield of California | $29,339 | 1.1× | 2 |
| Centivo | $38,807 | 1.5× | 1 |
| Cigna | $88,928 | 3.4× | 5 |
| Elevance/Anthem/Empire | $39,663 | 1.5× | 11 |
| Health Net | $31,484 | 1.2× | 2 |
| HealthPartners | $39,663 | 1.5× | 1 |
| Mc Alignment | $29,339 | 1.1× | 1 |
| Mc Health Net | $29,339 | 1.1× | 1 |
| Mc Scan | $29,339 | 1.1× | 1 |
| Mpmg | $31,484 | 1.2× | 1 |
| Prime Healthcare | $31,484 | 1.2× | 1 |
| Prospect Med Group | $31,484 | 1.2× | 1 |
| Ucsd | $63,607 | 2.5× | 1 |
| UnitedHealthcare | $50,864 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $31,484 · local Medicare $25,906 · file 2026-03-30 | |||
| Aetna | $71,629 | 2.8× | 5 |
| Blue Shield of California | $26,805 | 1.0× | 2 |
| Cigna | $88,928 | 3.4× | 5 |
| Elevance/Anthem/Empire | $26,805 | 1.0× | 1 |
| Health Net | $26,805 | 1.0× | 2 |
| Mc Alignment | $26,805 | 1.0× | 1 |
| Mc Health Net | $26,805 | 1.0× | 1 |
| Mc Scan | $26,805 | 1.0× | 1 |
| Mpmg | $31,484 | 1.2× | 1 |
| Prime Healthcare | $45,569 | 1.8× | 1 |
| Prospect Med Group | $46,909 | 1.8× | 1 |
| Ucsd | $63,607 | 2.5× | 1 |
| UnitedHealthcare | $50,864 | 2.0× | 6 |
| Scripps Green Hospital median $31,484 · local Medicare $25,906 · file 2026-03-30 | |||
| Aetna | $71,629 | 2.8× | 5 |
| Blue Shield of California | $26,858 | 1.0× | 2 |
| Centivo | $38,807 | 1.5× | 1 |
| Cigna | $88,928 | 3.4× | 5 |
| Elevance/Anthem/Empire | $39,663 | 1.5× | 11 |
| Health Net | $31,280 | 1.2× | 2 |
| HealthPartners | $39,663 | 1.5× | 1 |
| Mc Alignment | $26,858 | 1.0× | 1 |
| Mc Health Net | $26,858 | 1.0× | 1 |
| Mc Scan | $26,858 | 1.0× | 1 |
| Mpmg | $31,484 | 1.2× | 1 |
| Prime Healthcare | $31,280 | 1.2× | 1 |
| Prospect Med Group | $31,280 | 1.2× | 1 |
| Ucsd | $63,607 | 2.5× | 1 |
| UnitedHealthcare | $50,864 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $35,146 · local Medicare $25,906 · file 2026-03-30 | |||
| Aetna | $71,629 | 2.8× | 5 |
| Blue Shield of California | $26,922 | 1.0× | 2 |
| Centivo | $38,807 | 1.5× | 1 |
| Cigna | $88,928 | 3.4× | 5 |
| Elevance/Anthem/Empire | $39,663 | 1.5× | 11 |
| Health Net | $27,125 | 1.0× | 2 |
| HealthPartners | $39,663 | 1.5× | 1 |
| Mc Alignment | $26,922 | 1.0× | 1 |
| Mc Health Net | $26,922 | 1.0× | 1 |
| Mc Scan | $26,922 | 1.0× | 1 |
| Mpmg | $31,484 | 1.2× | 1 |
| Prime Healthcare | $27,125 | 1.0× | 1 |
| Ucsd | $63,607 | 2.5× | 1 |
| UnitedHealthcare | $50,864 | 2.0× | 6 |
| Tri-City Medical Center median $38,680 · local Medicare $25,906 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $41,098 | 1.6× | 1 |
| Health Net | $38,412 | 1.5× | 1 |
| Kaiser Permanente | $38,949 | 1.5× | 1 |
| Providence Health Plan | $37,606 | 1.5× | 1 |
| Palomar Health Downtown Campus median $45,007 · local Medicare $25,906 · file 2026-04-01 | |||
| Health Net | $54,205 | 2.1× | 1 |
| Prospect | $37,974 | 1.5× | 1 |
| Scripps | $45,007 | 1.7× | 1 |
| Palomar Medical Center Poway median $45,784 · local Medicare $25,906 · file 2026-04-01 | |||
| Health Net | $53,845 | 2.1× | 1 |
| Prospect | $37,722 | 1.5× | 1 |
Questions
How much does shoulder replacement cost with commercial insurance in San Diego CA?
7 San Diego CA hospitals post usable commercial rates for CPT 23472, hospital outpatient. The median across hospitals is $39,465; hospital medians range from $33,827 to $41,585. Your cost depends on your plan's deductible and coinsurance.