Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement in Virginia: what insurers pay
Posted commercial rates at 15 Virginia hospitals, each next to its own Medicare base rate.
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CPT 23472
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| CJW Medical Center (Chippenham + Johnston-Willis) Richmond | $25,280 | 1.5× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital Richmond | $25,280 | 1.5× | 5 | 2026-09-01 |
| Tricities Hospital Hopewell | $26,291 | 1.5× | 5 | 2026-09-01 |
| Spotsylvania Regional Medical Center Fredericksburg | $29,296 | 1.6× | 4 | 2026-09-01 |
| Reston Hospital Center Reston | $33,772 | 1.9× | 4 | 2026-09-01 |
| Stonesprings Hospital Center Dulles | $33,772 | 1.9× | 4 | 2026-09-01 |
| Inova Alexandria Hospital Alexandria | $38,236 | 2.1× | 2 | 2026-04-01 |
| Inova Mount Vernon Hospital Alexandria | $38,449 | 2.1× | 2 | 2026-04-01 |
| Inova Loudoun Hospital Leesburg | $38,618 | 2.1× | 2 | 2026-04-01 |
| Inova Fair Oaks Hospital Fairfax | $38,727 | 2.1× | 2 | 2026-04-01 |
| Inova Fairfax Hospital Falls Church | $39,216 | 2.2× | 2 | 2026-04-01 |
MS-DRG 483
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Spotsylvania Regional Medical Center Fredericksburg | $23,686 | 1.2× | 4 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) Richmond | $32,038 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital Richmond | $32,038 | 1.7× | 5 | 2026-09-01 |
| Tricities Hospital Hopewell | $32,038 | 1.7× | 5 | 2026-09-01 |
| Reston Hospital Center Reston | $32,952 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center Dulles | $32,952 | 1.6× | 5 | 2026-09-01 |
| Inova Alexandria Hospital Alexandria | $49,960 | 2.4× | 5 | 2026-04-01 |
| Inova Mount Vernon Hospital Alexandria | $49,978 | 2.4× | 5 | 2026-04-01 |
| Inova Loudoun Hospital Leesburg | $51,249 | 2.5× | 5 | 2026-04-01 |
| Inova Fairfax Hospital Falls Church | $51,749 | 2.5× | 5 | 2026-04-01 |
| Inova Fair Oaks Hospital Fairfax | $52,213 | 2.5× | 5 | 2026-04-01 |
| Bon Secours St. Francis Medical Center Midlothian | $59,441 | 3.1× | 5 | 2026-04-01 |
| Bon Secours Memorial Regional Medical Center Mechanicsville | $63,111 | 3.3× | 5 | 2026-04-01 |
| Bon Secours St. Mary's Hospital Richmond | $66,693 | 3.5× | 5 | 2026-04-01 |
| VCU Medical Center Richmond | $72,004 | 3.8× | 3 | 2026-01-02 |
Questions
How much do insurers pay for shoulder replacement in Virginia?
15 Virginia hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 11 hospitals is $33,772, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.