Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement revision in Boston MA
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 |
|---|---|---|---|
| South Shore Hospital median $16,314 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $13,335 | 0.9× | 2 |
| Tufts Health | $19,292 | 1.3× | 5 |
| Winchester Hospital median $18,696 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $18,696 | 1.2× | 2 |
| Harvard Pilgrim Healthcare | $19,928 | 1.3× | 1 |
| UnitedHealthcare | $13,017 | 0.8× | 1 |
| Beverly Hospital Corporation median $19,612 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $19,296 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $19,928 | 1.3× | 1 |
| Beth Israel Deaconess Hospital - Needham median $21,031 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $22,456 | 1.5× | 1 |
| Harvard Pilgrim Healthcare | $19,606 | 1.3× | 1 |
| New England Baptist Hospital median $21,278 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $25,762 | 1.7× | 2 |
| Elevance/Anthem/Empire | $16,793 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $26,035 | 1.7× | 1 |
| UnitedHealthcare | $9,012 | 0.6× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $21,360 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $22,363 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $20,356 | 1.3× | 2 |
| Mount Auburn Hospital median $21,459 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $22,776 | 1.5× | 2 |
| Harvard Pilgrim Healthcare | $20,142 | 1.3× | 1 |
| Anna Jaques Hospital median $21,713 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $20,163 | 1.3× | 1 |
| UnitedHealthcare | $23,263 | 1.5× | 1 |
| Lahey Hospital & Medical Center, Burlington median $22,250 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $25,750 | 1.7× | 1 |
| Harvard Pilgrim Healthcare | $18,749 | 1.2× | 1 |
| Beth Israel Deaconess Medical Center median $24,046 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $27,950 | 1.8× | 2 |
| Harvard Pilgrim Healthcare | $20,142 | 1.3× | 1 |
CPT 23473
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Shore Hospital median $12,252 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $12,252 | 0.8× | 2 |
| Harvard Pilgrim | $9,602 | 0.6× | 3 |
| Tufts Health | $19,292 | 1.3× | 5 |
| Winchester Hospital median $17,177 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $17,177 | 1.1× | 2 |
| Harvard Pilgrim Healthcare | $19,928 | 1.3× | 1 |
| UnitedHealthcare | $9,849 | 0.6× | 1 |
| Beverly Hospital Corporation median $18,828 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $17,729 | 1.2× | 1 |
| Harvard Pilgrim Healthcare | $19,928 | 1.3× | 1 |
| Beth Israel Deaconess Hospital - Needham median $20,119 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $20,632 | 1.3× | 1 |
| Harvard Pilgrim Healthcare | $19,606 | 1.3× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $20,451 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $20,546 | 1.3× | 2 |
| Harvard Pilgrim Healthcare | $20,356 | 1.3× | 2 |
| Mount Auburn Hospital median $20,534 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $20,926 | 1.4× | 2 |
| Harvard Pilgrim Healthcare | $20,142 | 1.3× | 1 |
| Anna Jaques Hospital median $20,894 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $18,525 | 1.2× | 1 |
| UnitedHealthcare | $23,263 | 1.5× | 1 |
| Lahey Hospital & Medical Center, Burlington median $21,204 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $23,658 | 1.5× | 1 |
| Harvard Pilgrim Healthcare | $18,749 | 1.2× | 1 |
| New England Baptist Hospital median $21,278 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $25,762 | 1.7× | 2 |
| Elevance/Anthem/Empire | $16,793 | 1.1× | 1 |
| Harvard Pilgrim Healthcare | $26,035 | 1.7× | 1 |
| UnitedHealthcare | $9,967 | 0.6× | 1 |
| Beth Israel Deaconess Medical Center median $22,911 · local Medicare $15,386 · file 2026-04-01 | |||
| BCBS Massachusetts | $25,680 | 1.7× | 2 |
| Harvard Pilgrim Healthcare | $20,142 | 1.3× | 1 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Emerson Hospital - median $19,657 · local Medicare $24,009 · file 2026-05-18 | |||
| Aetna | $19,657 | 0.8× | 1 |
| Anna Jaques Hospital median $20,823 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $20,823 | 0.9× | 1 |
| Beth Israel Deaconess Hospital - Needham median $21,438 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $21,438 | 0.9× | 1 |
| MultiPlan/PHCS (rental network) | $54,828 | 2.3× | 1 |
| Massachusetts General Hospital median $23,002 · local Medicare $24,009 · file 2026-03-27 | |||
| Commonwealth Care Alliance | $25,948 | 1.1× | 1 |
| Harvard Pilgrim Alternate | $20,057 | 0.8× | 1 |
| Beth Israel Deaconess Hospital - Plymouth median $23,633 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $23,633 | 1.0× | 1 |
| Mount Auburn Hospital median $24,551 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $24,551 | 1.0× | 1 |
| Beverly Hospital Corporation median $25,640 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $25,640 | 1.1× | 1 |
| Winchester Hospital median $25,640 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $25,640 | 1.1× | 1 |
| Beth Israel Deaconess Medical Center median $27,603 · local Medicare $24,009 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $27,603 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $54,828 | 2.3× | 1 |
| New England Baptist Hospital median $29,548 · local Medicare $24,009 · file 2026-04-01 | |||
| Cigna | $30,980 | 1.3× | 1 |
| Elevance/Anthem/Empire | $29,548 | 1.2× | 1 |
| UnitedHealthcare | $28,079 | 1.2× | 1 |
| Lowell General Hospital median $34,568 · local Medicare $24,009 · file 2026-04-01 | |||
| BCBS Massachusetts | $21,911 | 0.9× | 2 |
| Cigna | $42,277 | 1.8× | 1 |
| Commonwealth Care Alliance | $25,163 | 1.0× | 1 |
| Elevance/Anthem/Empire | $34,568 | 1.4× | 1 |
| Fallon Health | $39,255 | 1.6× | 1 |
| Fallon Health Connectorcare | $39,255 | 1.6× | 1 |
| Wellsense Clarity Connectorcare | $16,479 | 0.7× | 1 |
| Tufts Medical Center median $35,084 · local Medicare $24,009 · file 2026-04-01 | |||
| Aetna | $35,084 | 1.5× | 3 |
| BCBS Massachusetts | $25,421 | 1.1× | 2 |
| Commonwealth Care Alliance | $26,432 | 1.1× | 1 |
| Elevance/Anthem/Empire | $57,509 | 2.4× | 1 |
| Fallon Health | $62,138 | 2.6× | 1 |
| Fallon Health Connectorcare | $62,138 | 2.6× | 1 |
| Wellsense Clarity Connectorcare | $15,959 | 0.7× | 2 |
| Lahey Hospital & Medical Center, Burlington median $40,400 · local Medicare $24,009 · file 2026-04-01 | |||
| BCBS Massachusetts | $46,345 | 1.9× | 1 |
| Cigna | $40,400 | 1.7× | 1 |
| Elevance/Anthem/Empire | $27,256 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $57,814 | 2.4× | 1 |
| Brigham and Women's Hospital median $47,878 · local Medicare $24,009 · file 2026-03-27 | |||
| BCBS Massachusetts | $39,055 | 1.6× | 2 |
| Wellsense | $56,702 | 2.4× | 1 |
Questions
How much does shoulder replacement revision cost with commercial insurance in Boston MA?
10 Boston MA hospitals post usable commercial rates for CPT 23474, hospital outpatient. The median across hospitals is $21,319; hospital medians range from $16,314 to $24,046. Your cost depends on your plan's deductible and coinsurance.