Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement revision in Austin TX
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 23474
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Baylor Scott & White Medical Center- Austin median $12,910 · local Medicare $12,897 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $7,441 | 0.6× | 1 |
| Scott & White Hospital-Round Rock median $18,378 · local Medicare $12,897 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $7,441 | 0.6× | 1 |
| Injury Management Organization | $19,281 | 1.5× | 1 |
| Sedgwick | $19,281 | 1.5× | 1 |
| UnitedHealthcare | $9,751 | 0.8× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $18,378 · local Medicare $12,897 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $7,441 | 0.6× | 1 |
| Sedgwick | $19,281 | 1.5× | 1 |
| St David's Medical Center median $21,995 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $65,366 | 5.1× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| UnitedHealthcare | $10,922 | 0.8× | 3 |
| St David's South Austin Medical Center median $21,995 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $65,366 | 5.1× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| UnitedHealthcare | $10,922 | 0.8× | 3 |
| Round Rock Medical Center median $21,995 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $65,366 | 5.1× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| UnitedHealthcare | $10,922 | 0.8× | 3 |
| North Austin Medical Center median $21,995 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $65,366 | 5.1× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| UnitedHealthcare | $10,922 | 0.8× | 3 |
CPT 23473
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Seton Medical Center Austin median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Dell Seton Med Center At The University Of Tx median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Ascension Seton Southwest median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Ascension Seton Northwest median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Cedar Park Regional Medical Center median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Ascension Seton Hays median $11,425 · local Medicare $12,897 · file 2026-01-01 | |||
| BCBS TX | $11,425 | 0.9× | 4 |
| Baylor Scott & White Medical Center- Austin median $18,378 · local Medicare $12,897 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $15,811 | 1.2× | 1 |
| Mark Cuban | $32,604 | 2.5× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $18,830 · local Medicare $12,897 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $15,811 | 1.2× | 1 |
| Mark Cuban | $32,604 | 2.5× | 1 |
| Sedgwick | $19,281 | 1.5× | 1 |
| Scott & White Hospital-Round Rock median $19,281 · local Medicare $12,897 · file 2026-06-13 | |||
| BCBS TX | $21,659 | 1.7× | 3 |
| Baylor Scott & White Health Plan | $18,378 | 1.4× | 2 |
| Humana | $15,811 | 1.2× | 1 |
| Injury Management Organization | $19,281 | 1.5× | 1 |
| Mark Cuban | $32,604 | 2.5× | 1 |
| Sedgwick | $19,281 | 1.5× | 1 |
| UnitedHealthcare | $7,951 | 0.6× | 1 |
| St David's Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $43,438 | 3.4× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| Shared Health | $16,766 | 1.3× | 1 |
| UnitedHealthcare | $21,234 | 1.6× | 3 |
| St David's South Austin Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $43,438 | 3.4× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| Shared Health | $16,766 | 1.3× | 1 |
| UnitedHealthcare | $21,234 | 1.6× | 3 |
| Round Rock Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $43,438 | 3.4× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| Shared Health | $16,766 | 1.3× | 1 |
| UnitedHealthcare | $21,234 | 1.6× | 3 |
| North Austin Medical Center median $21,898 · local Medicare $12,897 · file 2026-09-01 | |||
| BCBS TX | $43,438 | 3.4× | 5 |
| Cigna | $22,138 | 1.7× | 5 |
| Curative Administrators | $23,981 | 1.9× | 1 |
| Evry Health | $21,995 | 1.7× | 1 |
| Harbor Health Team | $24,150 | 1.9× | 1 |
| Healthcare Highways (rental network) | $23,325 | 1.8× | 2 |
| Humana | $14,000 | 1.1× | 2 |
| MODA Health | $25,356 | 2.0× | 2 |
| Moda | $16,566 | 1.3× | 1 |
| Nomi Health | $21,800 | 1.7× | 3 |
| Oscar | $15,275 | 1.2× | 5 |
| Shared Health | $16,766 | 1.3× | 1 |
| UnitedHealthcare | $21,234 | 1.6× | 3 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Seton Southwest median $17,367 · local Medicare $19,819 · file 2026-01-01 | |||
| Addr Cancer Together | $17,367 | 0.9× | 1 |
| Covid Hrsa | $17,367 | 0.9× | 1 |
| Cshcn Cidc | $17,367 | 0.9× | 1 |
| Occunet | $24,314 | 1.2× | 1 |
| Sendero Chap | $17,193 | 0.9× | 1 |
| Sendero Idealcare | $30,392 | 1.5× | 1 |
| Smarthealth | $17,367 | 0.9× | 1 |
| Tx Independence Hp | $18,235 | 0.9× | 1 |
| Ascension Seton Hays median $17,484 · local Medicare $19,819 · file 2026-01-01 | |||
| Addr Cancer Together | $17,484 | 0.9× | 1 |
| Covid Hrsa | $17,484 | 0.9× | 1 |
| Cshcn Cidc | $17,484 | 0.9× | 1 |
| Occunet | $24,478 | 1.2× | 1 |
| Sendero Chap | $17,309 | 0.9× | 1 |
| Sendero Idealcare | $30,597 | 1.5× | 1 |
| Smarthealth | $17,484 | 0.9× | 1 |
| Tx Independence Hp | $18,358 | 0.9× | 1 |
| Ascension Seton Northwest median $17,585 · local Medicare $19,819 · file 2026-01-01 | |||
| Addr Cancer Together | $17,585 | 0.9× | 1 |
| Covid Hrsa | $17,585 | 0.9× | 1 |
| Cshcn Cidc | $17,585 | 0.9× | 1 |
| Occunet | $24,619 | 1.2× | 1 |
| Sendero Chap | $17,409 | 0.9× | 1 |
| Sendero Idealcare | $30,774 | 1.6× | 1 |
| Smarthealth | $17,585 | 0.9× | 1 |
| Tx Independence Hp | $18,465 | 0.9× | 1 |
| Ascension Seton Medical Center Austin median $18,048 · local Medicare $19,819 · file 2026-01-01 | |||
| Addr Cancer Together | $18,048 | 0.9× | 1 |
| Covid Hrsa | $18,048 | 0.9× | 1 |
| Occunet | $25,268 | 1.3× | 1 |
| Sendero Chap | $17,868 | 0.9× | 1 |
| Sendero Idealcare | $31,585 | 1.6× | 1 |
| Smarthealth | $18,048 | 0.9× | 1 |
| Tx Independence Hp | $18,951 | 1.0× | 1 |
| UnitedHealthcare | $18,048 | 0.9× | 1 |
| Round Rock Medical Center median $28,945 · local Medicare $19,819 · file 2026-09-01 | |||
| Aetna | $22,298 | 1.1× | 1 |
| American Health Plan of Texas | $23,049 | 1.2× | 2 |
| BCBS TX | $45,145 | 2.3× | 7 |
| Cigna | $31,198 | 1.6× | 5 |
| Covenant Management Systems | $49,570 | 2.5× | 1 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Evry Health | $38,186 | 1.9× | 1 |
| Harbor Health Team | $36,520 | 1.8× | 1 |
| Healthcare Highways (rental network) | $34,804 | 1.8× | 2 |
| Humana | $21,601 | 1.1× | 4 |
| Imperial Insurance | $22,727 | 1.1× | 1 |
| MODA Health | $37,518 | 1.9× | 2 |
| Moda | $20,667 | 1.0× | 1 |
| Nomi Health | $34,441 | 1.7× | 3 |
| Oscar | $23,719 | 1.2× | 5 |
| Sendero | $28,945 | 1.5× | 5 |
| Shared Health | $25,729 | 1.3× | 1 |
| UnitedHealthcare | $14,088 | 0.7× | 2 |
| Vista 360 | $33,637 | 1.7× | 1 |
| Wesleyan Homes | $21,440 | 1.1× | 1 |
| St David's Medical Center median $30,330 · local Medicare $19,819 · file 2026-09-01 | |||
| Aetna | $22,261 | 1.1× | 1 |
| American Health Plan of Texas | $23,461 | 1.2× | 2 |
| BCBS TX | $45,145 | 2.3× | 7 |
| Cigna | $31,198 | 1.6× | 5 |
| Covenant Management Systems | $49,570 | 2.5× | 1 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Evry Health | $38,186 | 1.9× | 1 |
| Harbor Health Team | $36,520 | 1.8× | 1 |
| Healthcare Highways (rental network) | $34,804 | 1.8× | 2 |
| Humana | $21,770 | 1.1× | 4 |
| Imperial Insurance | $23,134 | 1.2× | 1 |
| MODA Health | $37,518 | 1.9× | 2 |
| Moda | $20,667 | 1.0× | 1 |
| Nomi Health | $34,441 | 1.7× | 3 |
| Oscar | $23,719 | 1.2× | 5 |
| Sendero | $29,462 | 1.5× | 5 |
| Seven Corners | $33,827 | 1.7× | 1 |
| Shared Health | $26,189 | 1.3× | 1 |
| UnitedHealthcare | $14,088 | 0.7× | 2 |
| Vista 360 | $33,637 | 1.7× | 1 |
| Wesleyan Homes | $21,824 | 1.1× | 1 |
| Scott & White Hospital-Round Rock median $30,579 · local Medicare $19,819 · file 2026-06-13 | |||
| Aetna | $36,700 | 1.9× | 1 |
| BCBS TX | $37,967 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $30,579 | 1.5× | 4 |
| BlueBell Creameries | $15,245 | 0.8× | 1 |
| Cigna | $25,906 | 1.3× | 2 |
| HealthSmart (rental network) | $40,148 | 2.0× | 1 |
| Humana | $50,127 | 2.5× | 1 |
| Injury Management Organization | $28,087 | 1.4× | 1 |
| Mark Cuban | $50,383 | 2.5× | 1 |
| Sedgwick | $28,087 | 1.4× | 1 |
| UnitedHealthcare | $49,894 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $25,452 | 1.3× | 1 |
| North Austin Medical Center median $31,050 · local Medicare $19,819 · file 2026-09-01 | |||
| Aetna | $24,493 | 1.2× | 1 |
| American Health Plan of Texas | $24,608 | 1.2× | 2 |
| BCBS TX | $45,145 | 2.3× | 7 |
| Cigna | $31,198 | 1.6× | 5 |
| Covenant Management Systems | $49,570 | 2.5× | 1 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Evry Health | $38,186 | 1.9× | 1 |
| Harbor Health Team | $36,520 | 1.8× | 1 |
| Healthcare Highways (rental network) | $34,804 | 1.8× | 2 |
| Humana | $23,406 | 1.2× | 4 |
| Imperial Insurance | $24,264 | 1.2× | 1 |
| MODA Health | $37,518 | 1.9× | 2 |
| Moda | $20,667 | 1.0× | 1 |
| Nomi Health | $34,441 | 1.7× | 3 |
| Oscar | $23,719 | 1.2× | 5 |
| Sendero | $30,903 | 1.6× | 5 |
| Seven Corners | $35,481 | 1.8× | 1 |
| Shared Health | $27,469 | 1.4× | 1 |
| UnitedHealthcare | $14,088 | 0.7× | 2 |
| Vista 360 | $33,637 | 1.7× | 1 |
| Wesleyan Homes | $22,891 | 1.2× | 1 |
| St David's South Austin Medical Center median $31,224 · local Medicare $19,819 · file 2026-09-01 | |||
| Aetna | $24,306 | 1.2× | 1 |
| American Health Plan of Texas | $24,884 | 1.3× | 2 |
| BCBS TX | $45,145 | 2.3× | 7 |
| Cigna | $31,198 | 1.6× | 5 |
| Covenant Management Systems | $49,570 | 2.5× | 1 |
| Curative Administrators | $37,831 | 1.9× | 1 |
| Evry Health | $38,186 | 1.9× | 1 |
| Harbor Health Team | $36,520 | 1.8× | 1 |
| Healthcare Highways (rental network) | $34,804 | 1.8× | 2 |
| Humana | $23,438 | 1.2× | 4 |
| Imperial Insurance | $24,537 | 1.2× | 1 |
| MODA Health | $37,518 | 1.9× | 2 |
| Moda | $20,667 | 1.0× | 1 |
| Nomi Health | $34,441 | 1.7× | 3 |
| Oscar | $23,719 | 1.2× | 5 |
| Sendero | $31,250 | 1.6× | 5 |
| Seven Corners | $35,880 | 1.8× | 1 |
| Shared Health | $27,778 | 1.4× | 1 |
| UnitedHealthcare | $14,088 | 0.7× | 2 |
| Vista 360 | $33,637 | 1.7× | 1 |
| Wesleyan Homes | $23,148 | 1.2× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $36,700 · local Medicare $19,819 · file 2026-06-13 | |||
| Aetna | $36,700 | 1.9× | 1 |
| BCBS TX | $37,967 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $30,579 | 1.5× | 4 |
| Cigna | $20,726 | 1.0× | 2 |
| HealthSmart (rental network) | $40,148 | 2.0× | 1 |
| Humana | $50,127 | 2.5× | 1 |
| Mark Cuban | $50,383 | 2.5× | 1 |
| Sedgwick | $25,157 | 1.3× | 1 |
| UnitedHealthcare | $49,894 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $25,452 | 1.3× | 1 |
| Baylor Scott & White Medical Center- Austin median $37,334 · local Medicare $19,819 · file 2026-06-13 | |||
| Aetna | $36,700 | 1.9× | 1 |
| BCBS TX | $37,967 | 1.9× | 3 |
| Baylor Scott & White Health Plan | $30,579 | 1.5× | 4 |
| Cigna | $20,726 | 1.0× | 2 |
| Humana | $50,127 | 2.5× | 1 |
| Mark Cuban | $50,383 | 2.5× | 1 |
| UnitedHealthcare | $49,894 | 2.5× | 1 |
| University of Mary Hardin-Baylor | $25,452 | 1.3× | 1 |
Questions
How much does shoulder replacement revision cost with commercial insurance in Austin TX?
7 Austin TX hospitals post usable commercial rates for CPT 23474, hospital outpatient. The median across hospitals is $21,995; hospital medians range from $12,910 to $21,995. Your cost depends on your plan's deductible and coinsurance.