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Shoulder replacement in West Virginia: what insurers pay

Posted commercial rates at 12 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$20,4131.2×12026-01-01
Wheeling Hospital, Inc Wheeling$24,2361.4×42026-07-09
Camden Clark Medical Center Parkersburg$29,2901.7×12026-07-09
Thomas Memorial Hospital South Charleston$56,9973.4×22026-07-10
St Mary'S Medical Center Huntington$74,4544.4×22026-01-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Weirton Medical Center, Inc Weirton$11,6450.6×22026-07-10
Reynolds Memorial Hospital, Inc Glen Dale$11,6870.6×32026-07-09
Thomas Memorial Hospital South Charleston$12,0350.6×32026-07-10
United Hospital Center, Inc Bridgeport$12,0880.6×32026-07-10
Berkeley Medical Center Martinsburg$12,9650.7×32026-07-09
Wheeling Hospital, Inc Wheeling$13,0030.7×32026-07-09
St Mary'S Medical Center Huntington$34,2621.8×22026-01-01
West Virginia University Hospitals, Inc Morgantown$37,2322.0×22026-07-10
Cabell Huntington Hospital, Inc Huntington$38,4422.0×22026-01-01
Raleigh General Hospital Beckley$41,4102.2×32026-07-10
Logan Regional Medical Center Logan$66,7643.5×12026-04-01

Questions

How much do insurers pay for shoulder replacement in West Virginia?

12 West Virginia hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 5 hospitals is $29,290, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.