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Shoulder replacement in Washington: what insurers pay

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Salmon Creek Medical Center Vancouver$18,9601.0×52026-04-01
Swedish Issaquah Issaquah$39,7921.9×42026-04-01
Overlake Hospital Medical Center Bellevue$51,8112.5×42026-04-01
Swedish Edmonds Hospital Edmonds$52,0022.7×32026-04-01
St Clare Hospital Lakewood$62,3633.0×52026-02-28
St Anthony Hospital Gig Harbor$62,3633.0×52026-02-28
St Joseph Medical Center Tacoma$62,3633.0×52026-02-28
St Francis Community Hospital Federal Way$62,3633.1×52026-02-28
St Anne Hospital Burien$63,8703.1×42026-02-28
Swedish Medical Center / Cherry Hill Seattle$64,9143.2×42026-04-01
Swedish Medical Center Seattle$65,2243.2×42026-04-01
Tacoma General Allenmore Hospital Tacoma$69,6233.4×52026-08-27
Multicare Auburn Medical Center Auburn$69,6233.4×52026-08-27
Multicare Covington Medical Center Covington$69,6233.4×52026-08-27
Multicare Good Samaritan Hospital Puyallup$76,8943.8×42026-08-27

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Swedish Edmonds Hospital Edmonds$49,7882.2×52026-04-01
Overlake Hospital Medical Center Bellevue$50,1992.2×62026-04-01
St Anne Hospital Burien$55,7432.4×52026-02-28
St Clare Hospital Lakewood$57,7042.5×62026-02-28
St Anthony Hospital Gig Harbor$57,7042.5×62026-02-28
St Joseph Medical Center Tacoma$57,7042.5×62026-02-28
St Francis Community Hospital Federal Way$57,7042.5×62026-02-28
Legacy Salmon Creek Medical Center Vancouver$59,2032.7×42026-04-01
Multicare Good Samaritan Hospital Puyallup$59,2062.5×62026-08-27
Tacoma General Allenmore Hospital Tacoma$59,2062.5×62026-08-27
Multicare Auburn Medical Center Auburn$59,2062.5×62026-08-27
Multicare Covington Medical Center Covington$59,2062.5×62026-08-27
Swedish Issaquah Issaquah$60,0562.6×42026-04-01
Swedish Medical Center Seattle$72,3073.1×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$72,3073.1×52026-04-01

Questions

How much do insurers pay for shoulder replacement in Washington?

15 Washington hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 15 hospitals is $62,363, 3.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.