Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement revision: what insurers pay
Redo surgery on a shoulder replacement: both parts (23474) or one part (23473). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 23474: Shoulder Replacement Revision
818 hospitals in 75 markets. National Medicare rate $13,117, surgery center $9,996.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $13,858 | $16,074 | $23,708 | $11,637–$29,754 |
| Alaska (statewide) | 3 | — | — | — | $19,075–$33,760 |
| Arizona (statewide) | 6 | $9,317 | $11,478 | $15,288 | $9,174–$16,210 |
| Arkansas (statewide) | 3 | — | — | — | $6,979–$16,155 |
| Atlanta GA | 6 | $7,797 | $7,797 | $13,219 | $7,797–$15,026 |
| Austin TX | 7 | $18,378 | $21,995 | $21,995 | $12,910–$21,995 |
| Boston MA | 10 | $19,967 | $21,319 | $21,650 | $16,314–$24,046 |
| California (statewide) | 24 | $15,132 | $20,285 | $24,782 | $8,492–$33,178 |
| Chicago IL | 7 | $13,817 | $14,716 | $17,562 | $10,186–$22,164 |
| Cleveland OH | 10 | $12,013 | $13,361 | $20,509 | $8,884–$25,507 |
| Colorado (statewide) | 12 | $12,505 | $14,069 | $14,713 | $11,080–$23,415 |
| Columbus OH | 2 | — | — | — | $20,853–$21,045 |
| Connecticut (statewide) | 1 | — | — | — | $26,166–$26,166 |
| Dallas-Fort Worth TX | 12 | $12,596 | $20,692 | $24,401 | $9,126–$47,894 |
| Denver CO | 15 | $12,702 | $13,945 | $19,346 | $11,495–$23,415 |
| Detroit MI | 4 | — | — | — | $19,956–$24,945 |
| Florida (statewide) | 64 | $19,662 | $27,246 | $29,440 | $6,961–$40,000 |
| Georgia (statewide) | 22 | $7,952 | $12,960 | $15,569 | $5,681–$29,417 |
| Hawaii (statewide) | 2 | — | — | — | $15,118–$18,023 |
| Houston TX | 19 | $7,316 | $24,271 | $24,271 | $7,058–$24,505 |
| Idaho (statewide) | 13 | $14,696 | $18,520 | $21,551 | $8,094–$34,044 |
| Illinois (statewide) | 16 | $11,818 | $13,819 | $14,716 | $7,566–$18,271 |
| Indiana (statewide) | 19 | $21,013 | $28,420 | $36,257 | $11,261–$49,858 |
| Indianapolis IN | 1 | — | — | — | $23,708–$23,708 |
| Iowa (statewide) | 7 | $8,632 | $11,294 | $20,876 | $6,224–$24,966 |
| Kansas (statewide) | 11 | $15,451 | $17,071 | $19,870 | $11,621–$33,760 |
| Kentucky (statewide) | 6 | $10,423 | $12,426 | $13,146 | $8,913–$15,075 |
| Las Vegas NV | 2 | — | — | — | $7,618–$15,790 |
| Los Angeles CA | 15 | $11,090 | $14,036 | $19,568 | $10,198–$40,280 |
| Louisiana (statewide) | 22 | $11,198 | $25,072 | $32,198 | $7,082–$52,819 |
| Maine (statewide) | 8 | $31,184 | $32,895 | $51,267 | $31,184–$54,907 |
| Massachusetts (statewide) | 4 | — | — | — | $13,335–$19,952 |
| Michigan (statewide) | 19 | $9,888 | $20,673 | $22,190 | $6,737–$24,815 |
| Minneapolis-St. Paul MN | 5 | $9,386 | $9,430 | $9,430 | $9,251–$9,430 |
| Minnesota (statewide) | 12 | $22,680 | $35,731 | $42,956 | $9,430–$58,164 |
| Mississippi (statewide) | 10 | $9,119 | $9,152 | $11,298 | $6,757–$35,014 |
| Missouri (statewide) | 9 | $16,982 | $21,688 | $22,447 | $6,897–$22,447 |
| Montana (statewide) | 3 | — | — | — | $21,846–$28,377 |
| Nashville TN | 6 | $14,000 | $14,000 | $14,621 | $14,000–$22,901 |
| Nebraska (statewide) | 10 | $11,294 | $11,514 | $12,822 | $7,618–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $7,618–$24,428 |
| New Hampshire (statewide) | 5 | $24,134 | $30,414 | $31,650 | $19,056–$57,492 |
| New Jersey (statewide) | 19 | $11,519 | $14,410 | $19,228 | $8,458–$40,834 |
| New Mexico (statewide) | 4 | — | — | — | $10,427–$35,035 |
| New York (statewide) | 23 | $19,688 | $24,039 | $27,908 | $9,214–$37,643 |
| New York City | 8 | $24,039 | $24,039 | $25,698 | $18,967–$31,498 |
| North Carolina (statewide) | 6 | $14,000 | $14,000 | $14,000 | $8,583–$27,873 |
| North Dakota (statewide) | 4 | — | — | — | $11,996–$30,070 |
| Ohio (statewide) | 33 | $18,211 | $23,348 | $30,006 | $9,353–$49,348 |
| Oklahoma (statewide) | 6 | $15,391 | $18,026 | $21,121 | $10,382–$28,400 |
| Oregon (statewide) | 8 | $23,709 | $32,562 | $45,402 | $13,546–$60,492 |
| Pennsylvania (statewide) | 13 | $9,539 | $28,696 | $42,903 | $6,603–$56,776 |
| Philadelphia PA | 8 | $7,813 | $8,653 | $10,495 | $6,813–$12,874 |
| Phoenix AZ | 8 | $8,868 | $9,394 | $9,394 | $7,292–$9,394 |
| Pittsburgh PA | 1 | — | — | — | $8,926–$8,926 |
| Portland OR | 9 | $18,960 | $18,960 | $49,619 | $17,983–$49,619 |
| Rhode Island (statewide) | 3 | — | — | — | $9,771–$18,968 |
| Richmond VA | 3 | — | — | — | $12,959–$13,188 |
| Rio Grande Valley TX | 3 | — | — | — | $9,335–$17,850 |
| Salt Lake City UT | 9 | $27,055 | $27,978 | $27,978 | $11,010–$28,900 |
| San Antonio TX | 2 | — | — | — | $26,187–$26,187 |
| San Diego CA | 3 | — | — | — | $24,769–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $13,310–$46,049 |
| Seattle-Tacoma WA | 16 | $33,491 | $34,286 | $43,040 | $24,124–$49,169 |
| South Carolina (statewide) | 17 | $19,538 | $20,252 | $22,211 | $15,655–$24,439 |
| South Dakota (statewide) | 2 | — | — | — | $20,401–$23,319 |
| Tampa FL | 6 | $16,978 | $16,978 | $16,978 | $15,638–$19,745 |
| Tennessee (statewide) | 20 | $12,130 | $13,099 | $14,000 | $7,309–$23,196 |
| Texas (statewide) | 60 | $12,439 | $16,982 | $24,054 | $7,086–$46,675 |
| Utah (statewide) | 6 | $9,469 | $20,660 | $27,055 | $7,871–$27,978 |
| Virginia (statewide) | 16 | $19,022 | $32,140 | $34,880 | $11,640–$43,511 |
| Washington (statewide) | 11 | $31,455 | $34,888 | $43,684 | $18,577–$67,542 |
| Washington DC | 8 | $12,196 | $12,431 | $12,734 | $11,144–$13,690 |
| West Virginia (statewide) | 3 | — | — | — | $14,999–$85,473 |
| Wisconsin (statewide) | 31 | $14,107 | $20,541 | $20,824 | $6,827–$33,173 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,138 | 0.5× | 2 | 2025-11-19 |
| Clarinda Regional Health Center | Iowa (statewide) | $6,224 | 0.5× | 1 | 2026-07-13 |
| Navicent Health Baldwin | Georgia (statewide) | $6,575 | 0.6× | 1 | 2025-11-19 |
| St Luke'S Hospital - Upper Bucks Campus | Pennsylvania (statewide) | $6,603 | 0.5× | 1 | 2026-02-26 |
| Corewell Health Zeeland Hospital | Michigan (statewide) | $6,737 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Big Rapids Hospital | Michigan (statewide) | $6,737 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Gerber Hospital | Michigan (statewide) | $6,737 | 0.5× | 1 | 2026-05-01 |
| Corewell Health Pennock Hospital | Michigan (statewide) | $6,737 | 0.5× | 1 | 2026-05-01 |
| Jefferson County Hospital | Mississippi (statewide) | $6,757 | 0.6× | 5 | 2026-09-15 |
| Jefferson Abington Hospital | Philadelphia PA | $6,813 | 0.5× | 4 | 2026-09-15 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $6,827 | 0.5× | 2 | 2026-01-01 |
| Ochsner Lsu Health Monroe | Louisiana (statewide) | $49,908 | 4.3× | 1 | 2026-04-01 |
| Northern Light Maine Coast Hospital | Maine (statewide) | $51,267 | 4.1× | 3 | 2026-03-30 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $51,267 | 4.1× | 3 | 2026-02-03 |
| Ochsner St Martin Hospital | Louisiana (statewide) | $52,819 | 4.5× | 1 | 2026-04-01 |
| Northern Light A R Gould Hospital | Maine (statewide) | $54,907 | 4.3× | 3 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $55,588 | 3.9× | 3 | 2026-04-01 |
| Penn State Health St. Joseph | Pennsylvania (statewide) | $56,776 | 4.3× | 1 | 2026-03-27 |
| Elliot Hospital | New Hampshire (statewide) | $57,492 | 4.2× | 1 | 2026-04-01 |
| Sanford Bemidji Medical Center | Minnesota (statewide) | $58,164 | 4.4× | 1 | 2026-03-04 |
| Providence Medford Medical Center | Oregon (statewide) | $60,492 | 4.0× | 2 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $67,542 | 4.5× | 3 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 23473: Shoulder Replacement Revision
948 hospitals in 77 markets. National Medicare rate $13,117, surgery center $9,390.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $13,992 | $15,649 | $21,346 | $10,798–$29,754 |
| Alaska (statewide) | 2 | — | — | — | $27,881–$31,247 |
| Arizona (statewide) | 6 | $8,532 | $8,787 | $9,112 | $7,920–$15,344 |
| Arkansas (statewide) | 5 | $11,647 | $13,270 | $16,155 | $11,647–$17,784 |
| Atlanta GA | 6 | $7,861 | $7,861 | $10,882 | $7,861–$11,889 |
| Austin TX | 13 | $11,425 | $18,378 | $21,898 | $11,425–$21,898 |
| Boston MA | 10 | $19,151 | $20,492 | $21,126 | $12,252–$22,911 |
| California (statewide) | 49 | $18,164 | $37,964 | $48,690 | $10,308–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 7 | $10,607 | $17,528 | $20,608 | $9,427–$22,164 |
| Cleveland OH | 10 | $12,906 | $14,399 | $20,509 | $8,701–$28,544 |
| Colorado (statewide) | 12 | $12,348 | $13,428 | $15,703 | $10,420–$23,415 |
| Columbus OH | 1 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 1 | — | — | — | $53,492–$53,492 |
| Dallas-Fort Worth TX | 11 | $18,830 | $24,401 | $24,401 | $13,429–$30,752 |
| Denver CO | 15 | $11,798 | $20,490 | $23,010 | $9,658–$23,415 |
| Detroit MI | 13 | $11,318 | $12,958 | $12,958 | $7,446–$15,746 |
| Florida (statewide) | 64 | $19,237 | $28,500 | $30,670 | $7,150–$40,029 |
| Georgia (statewide) | 24 | $9,247 | $11,889 | $24,054 | $5,681–$37,095 |
| Hawaii (statewide) | 2 | — | — | — | $16,778–$16,778 |
| Houston TX | 19 | $18,372 | $24,271 | $24,271 | $10,546–$24,505 |
| Idaho (statewide) | 12 | $16,696 | $26,294 | $32,682 | $7,613–$39,877 |
| Illinois (statewide) | 21 | $10,607 | $13,010 | $19,454 | $8,692–$38,226 |
| Indiana (statewide) | 22 | $20,652 | $27,801 | $36,352 | $11,261–$49,858 |
| Indianapolis IN | 1 | — | — | — | $22,830–$22,830 |
| Iowa (statewide) | 13 | $20,055 | $22,613 | $27,849 | $11,294–$38,961 |
| Kansas (statewide) | 10 | $14,441 | $17,476 | $22,969 | $12,199–$31,247 |
| Kentucky (statewide) | 11 | $16,507 | $22,036 | $24,740 | $7,505–$35,189 |
| Las Vegas NV | 2 | — | — | — | $7,618–$20,303 |
| Los Angeles CA | 17 | $13,571 | $16,214 | $23,533 | $9,636–$40,280 |
| Louisiana (statewide) | 23 | $11,895 | $20,421 | $26,285 | $10,086–$48,017 |
| Maine (statewide) | 15 | $54,291 | $60,472 | $61,208 | $44,941–$76,956 |
| Massachusetts (statewide) | 2 | — | — | — | $15,964–$19,110 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $24,023–$24,023 |
| Michigan (statewide) | 20 | $8,643 | $12,792 | $13,236 | $6,982–$24,854 |
| Minneapolis-St. Paul MN | 6 | $9,204 | $9,204 | $16,759 | $9,204–$27,696 |
| Minnesota (statewide) | 12 | $21,369 | $35,445 | $42,956 | $9,204–$58,164 |
| Mississippi (statewide) | 11 | $12,226 | $17,731 | $20,708 | $7,374–$35,014 |
| Missouri (statewide) | 12 | $12,711 | $21,025 | $23,773 | $6,750–$34,343 |
| Montana (statewide) | 4 | — | — | — | $21,846–$42,576 |
| Nashville TN | 8 | $18,560 | $18,560 | $24,107 | $14,828–$27,964 |
| Nebraska (statewide) | 10 | $10,150 | $11,294 | $11,624 | $7,618–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $7,618–$24,428 |
| New Hampshire (statewide) | 6 | $30,546 | $31,871 | $40,883 | $22,684–$57,492 |
| New Jersey (statewide) | 20 | $13,104 | $14,427 | $15,790 | $11,774–$34,833 |
| New Mexico (statewide) | 5 | $33,415 | $43,414 | $51,562 | $13,578–$62,623 |
| New York (statewide) | 25 | $19,632 | $22,382 | $27,498 | $16,444–$44,471 |
| New York City | 8 | $19,446 | $19,632 | $21,356 | $17,044–$28,114 |
| North Carolina (statewide) | 6 | $14,000 | $14,000 | $14,000 | $10,849–$27,873 |
| North Dakota (statewide) | 5 | $16,908 | $22,259 | $23,240 | $8,927–$30,070 |
| Ohio (statewide) | 35 | $16,579 | $21,694 | $29,214 | $6,552–$49,348 |
| Oklahoma (statewide) | 8 | $18,688 | $24,149 | $27,683 | $11,050–$59,340 |
| Oregon (statewide) | 8 | $32,949 | $39,129 | $49,947 | $27,710–$61,050 |
| Pennsylvania (statewide) | 22 | $22,466 | $31,328 | $44,633 | $7,374–$59,058 |
| Philadelphia PA | 11 | $11,488 | $12,796 | $15,104 | $7,374–$24,614 |
| Phoenix AZ | 6 | $7,920 | $7,920 | $7,920 | $7,920–$7,920 |
| Pittsburgh PA | 6 | $24,027 | $26,525 | $27,863 | $10,004–$32,386 |
| Portland OR | 9 | $17,644 | $17,644 | $50,741 | $17,325–$50,741 |
| Rhode Island (statewide) | 3 | — | — | — | $19,355–$28,107 |
| Richmond VA | 3 | — | — | — | $25,280–$28,422 |
| Rio Grande Valley TX | 4 | — | — | — | $16,447–$17,850 |
| Salt Lake City UT | 9 | $19,322 | $19,981 | $19,981 | $11,982–$20,640 |
| San Antonio TX | 3 | — | — | — | $18,424–$25,239 |
| San Diego CA | 3 | — | — | — | $24,769–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $13,310–$40,051 |
| Seattle-Tacoma WA | 16 | $37,206 | $38,668 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 18 | $17,857 | $21,412 | $23,100 | $14,348–$28,785 |
| South Dakota (statewide) | 3 | — | — | — | $20,401–$47,961 |
| Tampa FL | 6 | $13,848 | $13,848 | $15,190 | $13,848–$17,603 |
| Tennessee (statewide) | 24 | $12,882 | $18,392 | $22,011 | $9,406–$27,758 |
| Texas (statewide) | 69 | $13,429 | $14,814 | $24,271 | $7,505–$46,675 |
| Utah (statewide) | 6 | $13,130 | $17,948 | $19,322 | $11,982–$19,981 |
| Virginia (statewide) | 19 | $30,685 | $31,725 | $36,494 | $10,423–$43,511 |
| Washington (statewide) | 11 | $35,046 | $37,951 | $47,689 | $13,491–$68,776 |
| Washington DC | 9 | $10,576 | $10,666 | $28,520 | $10,576–$30,552 |
| West Virginia (statewide) | 4 | — | — | — | $12,304–$85,473 |
| Wisconsin (statewide) | 32 | $11,200 | $12,182 | $19,993 | $7,301–$33,173 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,138 | 0.5× | 2 | 2025-11-19 |
| University Hospitals Conneaut Medical Center | Ohio (statewide) | $6,552 | 0.5× | 1 | 2026-07-14 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $6,673 | 0.6× | 2 | 2026-04-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $6,750 | 0.5× | 4 | 2026-09-01 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 0.5× | 1 | 2026-04-01 |
| Corewell Health Lakeland Hospitals St Joseph Hospi | Michigan (statewide) | $6,982 | 0.6× | 1 | 2026-05-01 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Baptist Medical Center - Nassau | Florida (statewide) | $7,150 | 0.5× | 2 | 2026-02-06 |
| Oaklawn Hospital | Michigan (statewide) | $7,176 | 0.6× | 2 | 2026-03-27 |
| Unitypoint Health - Meriter | Wisconsin (statewide) | $7,301 | 0.6× | 1 | 2026-01-28 |
| Providence Medford Medical Center | Oregon (statewide) | $61,050 | 4.0× | 2 | 2026-04-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $61,208 | 4.7× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Memorial Medical Center | New Mexico (statewide) | $62,623 | 4.9× | 1 | 2026-07-10 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $68,776 | 4.6× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 483: Major Joint Or Limb Reattachment Procedures of Upper Extremities
1473 hospitals in 83 markets. National Medicare rate $20,170.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $22,580 | $27,587 | $30,114 | $18,572–$60,671 |
| Alaska (statewide) | 4 | — | — | — | $24,219–$84,253 |
| Arizona (statewide) | 28 | $33,148 | $45,093 | $52,159 | $12,954–$64,281 |
| Arkansas (statewide) | 10 | $23,858 | $25,818 | $27,825 | $19,631–$32,542 |
| Atlanta GA | 9 | $45,983 | $52,346 | $55,101 | $45,983–$75,018 |
| Austin TX | 11 | $17,816 | $30,330 | $31,137 | $17,367–$37,334 |
| Boston MA | 14 | $23,160 | $25,640 | $33,313 | $19,657–$47,878 |
| California (statewide) | 53 | $30,893 | $38,672 | $46,743 | $21,976–$119,976 |
| Charlotte NC | 8 | $38,798 | $42,018 | $54,188 | $31,095–$54,188 |
| Chicago IL | 10 | $32,126 | $37,282 | $42,920 | $24,201–$51,557 |
| Cleveland OH | 11 | $34,848 | $38,352 | $42,628 | $34,282–$49,950 |
| Colorado (statewide) | 16 | $34,268 | $48,454 | $64,096 | $16,983–$87,151 |
| Columbus OH | 3 | — | — | — | $56,342–$74,279 |
| Connecticut (statewide) | 6 | $25,801 | $39,360 | $52,126 | $16,238–$72,843 |
| Dallas-Fort Worth TX | 15 | $25,520 | $31,364 | $34,953 | $23,692–$61,616 |
| Delaware (statewide) | 2 | — | — | — | $30,938–$42,948 |
| Denver CO | 15 | $25,842 | $27,402 | $55,057 | $22,537–$70,268 |
| Detroit MI | 17 | $35,925 | $37,970 | $47,355 | $28,573–$52,822 |
| Florida (statewide) | 89 | $24,890 | $27,855 | $51,508 | $16,282–$83,260 |
| Georgia (statewide) | 43 | $35,890 | $52,153 | $62,710 | $21,535–$75,018 |
| Hawaii (statewide) | 11 | $36,880 | $42,662 | $54,624 | $32,181–$60,498 |
| Houston TX | 19 | $27,860 | $31,534 | $39,738 | $23,225–$59,274 |
| Idaho (statewide) | 16 | $36,475 | $47,140 | $63,730 | $27,238–$66,595 |
| Illinois (statewide) | 41 | $25,640 | $30,530 | $39,350 | $18,658–$59,956 |
| Indiana (statewide) | 47 | $20,987 | $36,810 | $46,576 | $16,090–$60,982 |
| Indianapolis IN | 6 | $15,419 | $33,317 | $59,812 | $15,260–$62,836 |
| Iowa (statewide) | 18 | $24,615 | $29,394 | $37,464 | $21,563–$43,243 |
| Kansas (statewide) | 23 | $21,636 | $24,803 | $35,531 | $11,745–$84,253 |
| Kentucky (statewide) | 27 | $24,044 | $26,434 | $34,658 | $15,755–$58,774 |
| Las Vegas NV | 2 | — | — | — | $41,741–$52,651 |
| Los Angeles CA | 18 | $39,133 | $46,912 | $49,618 | $35,865–$60,982 |
| Louisiana (statewide) | 24 | $20,050 | $24,384 | $26,734 | $15,236–$35,204 |
| Maine (statewide) | 13 | $51,721 | $75,168 | $83,811 | $21,372–$83,811 |
| Maryland (statewide) | 1 | — | — | — | $34,871–$34,871 |
| Massachusetts (statewide) | 8 | $31,406 | $36,401 | $37,831 | $19,762–$45,749 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $26,888–$45,417 |
| Michigan (statewide) | 38 | $29,783 | $36,184 | $41,085 | $17,329–$57,656 |
| Minneapolis-St. Paul MN | 15 | $41,457 | $43,761 | $45,734 | $20,142–$52,288 |
| Minnesota (statewide) | 21 | $35,371 | $35,371 | $43,761 | $15,218–$57,656 |
| Mississippi (statewide) | 17 | $29,496 | $31,688 | $31,908 | $19,876–$45,922 |
| Missouri (statewide) | 27 | $26,074 | $27,972 | $33,171 | $14,170–$61,616 |
| Montana (statewide) | 7 | $17,191 | $37,435 | $49,330 | $12,164–$79,649 |
| Nashville TN | 8 | $21,628 | $22,456 | $29,920 | $20,637–$48,925 |
| Nebraska (statewide) | 15 | $43,444 | $45,470 | $53,616 | $29,832–$66,201 |
| Nevada (statewide) | 4 | — | — | — | $34,978–$55,051 |
| New Hampshire (statewide) | 8 | $30,232 | $34,416 | $45,242 | $26,280–$65,195 |
| New Jersey (statewide) | 21 | $42,920 | $49,758 | $58,167 | $24,606–$73,344 |
| New Mexico (statewide) | 10 | $22,790 | $31,088 | $40,754 | $17,389–$76,730 |
| New York (statewide) | 48 | $29,632 | $36,342 | $49,444 | $20,110–$83,446 |
| New York City | 9 | $51,907 | $53,391 | $54,430 | $22,709–$84,683 |
| North Carolina (statewide) | 29 | $25,176 | $32,060 | $54,188 | $15,758–$64,491 |
| North Dakota (statewide) | 7 | $30,007 | $33,512 | $35,718 | $21,928–$46,008 |
| Ohio (statewide) | 51 | $35,406 | $43,872 | $49,393 | $17,805–$69,941 |
| Oklahoma (statewide) | 16 | $21,694 | $26,257 | $29,367 | $14,966–$47,321 |
| Oregon (statewide) | 11 | $42,810 | $45,869 | $56,695 | $24,729–$69,941 |
| Pennsylvania (statewide) | 60 | $27,022 | $37,111 | $46,442 | $18,849–$73,190 |
| Philadelphia PA | 11 | $47,047 | $50,847 | $56,525 | $43,705–$73,730 |
| Phoenix AZ | 11 | $46,138 | $46,138 | $47,942 | $40,473–$50,586 |
| Pittsburgh PA | 7 | $28,729 | $30,771 | $33,894 | $26,962–$37,984 |
| Portland OR | 9 | $54,306 | $59,038 | $66,347 | $51,248–$66,347 |
| Research Triangle NC | 9 | $27,809 | $38,324 | $41,842 | $24,246–$42,768 |
| Rhode Island (statewide) | 6 | $36,221 | $46,177 | $57,079 | $25,778–$60,020 |
| Richmond VA | 7 | $28,998 | $59,441 | $64,902 | $25,926–$72,004 |
| Rio Grande Valley TX | 6 | $28,400 | $31,440 | $33,741 | $25,376–$38,357 |
| Salt Lake City UT | 9 | $41,931 | $41,931 | $41,931 | $41,514–$41,931 |
| San Antonio TX | 3 | — | — | — | $28,504–$49,371 |
| San Diego CA | 7 | $31,484 | $35,146 | $41,844 | $31,484–$45,784 |
| San Francisco Bay Area CA | 2 | — | — | — | $32,678–$42,500 |
| Seattle-Tacoma WA | 16 | $50,910 | $55,132 | $56,050 | $49,088–$72,307 |
| South Carolina (statewide) | 30 | $47,530 | $56,588 | $61,209 | $19,614–$84,002 |
| South Dakota (statewide) | 4 | — | — | — | $30,491–$45,085 |
| St. Louis MO | 7 | $33,942 | $33,942 | $33,942 | $14,164–$48,303 |
| Tampa FL | 11 | $51,508 | $51,508 | $57,221 | $39,251–$61,478 |
| Tennessee (statewide) | 31 | $22,253 | $25,251 | $29,227 | $20,135–$48,925 |
| Texas (statewide) | 85 | $25,533 | $31,364 | $40,429 | $14,010–$66,251 |
| Utah (statewide) | 6 | $38,394 | $49,365 | $58,523 | $20,333–$59,098 |
| Vermont (statewide) | 3 | — | — | — | $31,858–$70,420 |
| Virginia (statewide) | 24 | $44,446 | $51,114 | $55,666 | $22,909–$95,431 |
| Washington (statewide) | 12 | $42,864 | $50,007 | $56,950 | $32,743–$106,092 |
| Washington DC | 11 | $38,902 | $49,978 | $51,880 | $21,972–$58,365 |
| West Virginia (statewide) | 11 | $12,062 | $13,003 | $37,837 | $11,645–$66,764 |
| Wisconsin (statewide) | 49 | $39,068 | $47,142 | $56,870 | $13,088–$66,673 |
| Wyoming (statewide) | 2 | — | — | — | $44,004–$55,199 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Weirton Medical Center, Inc | West Virginia (statewide) | $11,645 | 0.6× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $11,687 | 0.6× | 3 | 2026-07-09 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $11,745 | 0.7× | 3 | 2025-12-19 |
| Thomas Memorial Hospital | West Virginia (statewide) | $12,035 | 0.6× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $12,088 | 0.6× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $12,164 | 0.6× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $12,954 | 0.6× | 1 | 2026-07-29 |
| Berkeley Medical Center | West Virginia (statewide) | $12,965 | 0.7× | 3 | 2026-07-09 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $13,003 | 0.7× | 3 | 2026-07-09 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.7× | 2 | 2026-08-07 |
| Peterson Regional Medical Center | Texas (statewide) | $14,010 | 0.7× | 1 | 2026-08-17 |
| Mercy Hospital South | St. Louis MO | $14,164 | 0.7× | 1 | 2026-06-10 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $83,811 | 4.3× | 3 | 2026-03-30 |
| Cherokee Medical Center | South Carolina (statewide) | $84,002 | 4.6× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $84,253 | 3.8× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $84,253 | 4.5× | 4 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $84,683 | 3.4× | 9 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $87,151 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $87,842 | 4.6× | 1 | 2025-12-15 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $89,523 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $95,431 | 5.0× | 1 | 2025-12-15 |
| Providence Centralia Hospital | Washington (statewide) | $106,092 | 4.8× | 2 | 2026-04-01 |
| Loma Linda University Children'S Hospital | California (statewide) | $106,235 | 4.1× | 2 | 2026-09-02 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $119,976 | 4.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for shoulder replacement revision?
Across 818 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 23474, hospital outpatient is $18,964, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $12,748 to $26,222. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for shoulder replacement revision?
Medicare's national hospital outpatient rate for CPT 23474 is $13,117 and its surgery-center rate is $9,996, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for shoulder replacement revision?
Lowest medians: Atrium Health Navicent Peach ($5,681), Atrium Health Navicent The Medical Center ($6,138), Clarinda Regional Health Center ($6,224). Highest: Logan Regional Medical Center ($85,473), Mary Bridge Children'S Hospital ($67,542), Providence Medford Medical Center ($60,492). Coverage: every hospital whose price file we could read.