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Shoulder replacement in San Francisco Bay Area 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 · insurerRate× MedicarePlans
Stanford Health Care Tri-Valley median $13,547 · local Medicare $24,759 · file 2026-04-01
Aetna$13,3100.5×1
UnitedHealthcare$13,7840.6×1
St Mary's Medical Center median $17,327 · local Medicare $25,345 · file 2026-04-01
Aetna$13,0430.5×1
Elevance/Anthem/Empire$20,5490.8×2
Kaiser Permanente$57,1902.3×1
UnitedHealthcare$14,1050.6×2
Good Samaritan Hospital median $39,066 · local Medicare $25,790 · file 2026-09-01
Aetna$18,8340.7×3
Elevance/Anthem/Empire$45,2691.8×2
UnitedHealthcare$39,0661.5×1
Stanford Health Care median $41,632 · local Medicare $25,790 · file 2026-04-01
Aetna$44,1251.7×1
Blue Shield of California$39,1401.5×2
Elevance/Anthem/Empire$31,8611.2×1
UnitedHealthcare$48,5431.9×1

MS-DRG 483

Hospital · insurerRate× MedicarePlans
Good Samaritan Hospital median $31,064 · local Medicare $29,887 · file 2026-09-01
Aetna$30,7561.0×3
Blue Shield of California$31,3711.0×5
UnitedHealthcare$31,0641.0×1
St Mary's Medical Center median $37,131 · local Medicare $29,341 · file 2026-04-01
Blue Shield of California$53,9831.8×1
Cigna$28,3551.0×1
UnitedHealthcare$37,1311.3×2

Questions

How much does shoulder replacement cost with commercial insurance in San Francisco Bay Area CA?

4 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 23472, hospital outpatient. The median across hospitals is $28,197; hospital medians range from $13,547 to $41,632. Your cost depends on your plan's deductible and coinsurance.