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Shoulder replacement revision in California: what insurers pay

Posted commercial rates at 109 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
Hollywood Presbyterian Medical Center Los Angeles$8,4920.5×12026-03-12
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$10,1980.6×42026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$10,2140.6×42026-04-01
Fresno Surgical Hospital Fresno$10,3080.6×22026-06-16
Providence Cedars Sinai Tarzana Medical Center Tarzana$10,5040.6×32026-04-01
Providence Saint Joseph Medical Ctr Burbank$10,7010.7×32026-04-01
Saint Agnes Medical Center Fresno$11,2310.7×172026-03-31
Riverside Community Hospital Riverside$11,3730.7×42026-09-01
Community Regional Medical Center Fresno$11,4350.7×72026-06-18
Clovis Community Medical Center Clovis$11,4350.7×72026-06-15
Usc Verdugo Hills Hospital Glendale$11,4800.7×52026-04-01
Providence Holy Cross Medical Center Mission Hills$12,4770.8×32026-04-01
Saint John's Health Center Santa Monica$12,7420.8×42026-04-01
Stanford Health Care Tri-Valley Pleasanton$13,3100.7×32026-04-01
Providence St. Joseph Hospital Orange$14,0360.8×52026-04-01
Providence St. Jude Medical Center Fullerton$14,0360.8×52026-04-01
Providence Mission Hospital Mission Viejo$14,0360.8×52026-04-01
Rady Children'S Hospital - San Diego San Diego$16,3641.0×52026-04-01
Providence Santa Rosa Memorial Hospital Santa Rosa$16,5281.0×32026-04-01
Oroville Hospital Oroville$16,5741.0×42026-09-27
St Mary's Medical Center San Francisco$17,4800.9×62026-04-01
Good Samaritan Hospital San Jose$17,7160.9×52026-09-01
Providence Redwood Memorial Hospital Fortuna$17,8561.1×32026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$18,0821.1×42026-04-01
St Rose Hospital Hayward$18,2551.0×62026-02-23
Providence Queen Of The Valley Medical Center Napa$19,8401.2×42026-04-01
Providence St Joseph Hospital Eureka$20,7301.3×42026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$20,9441.3×82026-04-01
Keck Hospital Of Usc Los Angeles$21,0541.3×82026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$21,5501.3×42026-09-01
Providence St Mary Medical Center Apple Valley$21,8521.3×42026-04-01
Desert Valley Hospital Victorville$23,0041.4×42026-09-01
Shasta Regional Medical Center Redding$24,6481.5×32026-09-01
Tri-City Medical Center Oceanside$24,7691.5×52026-05-29
Uci Health-Lakewood Lakewood$25,1821.5×62026-04-01
Southern California Hospital At Hollywood Hollywood$28,1841.7×12026-03-18
Palomar Health Downtown Campus Escondido$28,4341.7×22026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$28,5301.7×72026-04-01
University Of California Davis Medical Center Sacramento$29,8761.8×22026-04-01
Palomar Medical Center Poway Poway$30,4491.8×12026-04-01
Mission Community Hospital Panorama City$31,0141.9×32026-09-01
Los Angeles Community Hospital Los Angeles$33,1782.0×12026-03-18
Foothill Regional Medical Center Tustin$33,1782.0×12026-03-18
Memorialcare Long Beach Medical Center Long Beach$33,7642.0×62026-04-01
Cedars-Sinai Medical Center Los Angeles$40,2802.4×32025-11-26
Stanford Health Care Stanford$46,0492.4×42026-04-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$9,6360.6×52026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$9,6480.6×52026-04-01
Fresno Surgical Hospital Fresno$10,3080.6×22026-06-16
Saint Agnes Medical Center Fresno$11,2310.7×202026-03-31
Community Regional Medical Center Fresno$11,4350.7×72026-06-18
Clovis Community Medical Center Clovis$11,4350.7×72026-06-15
Usc Verdugo Hills Hospital Glendale$11,4800.7×52026-04-01
Saint John's Health Center Santa Monica$12,0250.7×52026-04-01
Stanford Health Care Tri-Valley Pleasanton$13,3100.7×32026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$13,5710.8×42026-04-01
Providence Saint Joseph Medical Ctr Burbank$13,6540.8×42026-04-01
Providence Holy Cross Medical Center Mission Hills$13,7860.8×42026-04-01
Rady Children'S Hospital - San Diego San Diego$14,1010.8×52026-04-01
Foothill Regional Medical Center Tustin$14,1540.9×32026-03-18
Providence St. Jude Medical Center Fullerton$14,7460.9×62026-04-01
Providence St. Joseph Hospital Orange$16,2141.0×62026-04-01
Providence Mission Hospital Mission Viejo$16,2141.0×62026-04-01
Oroville Hospital Oroville$16,5741.0×42026-09-27
Providence St Joseph Hospital Eureka$17,6111.1×52026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$18,0821.1×42026-04-01
Community Hospital Of Huntington Park Huntington Park$18,0881.1×152026-02-04
Memorial Hospital Of Gardena Gardena$18,0881.1×152026-02-04
East Los Angeles Doctors Hospital Los Angeles$18,0881.1×162026-02-04
Coast Plaza Hospital Norwalk$18,0881.1×152026-02-04
Loma Linda University Medical Center Loma Linda$18,1641.1×112026-09-02
Providence Queen Of The Valley Medical Center Napa$19,3451.2×52026-04-01
St Mary's Medical Center San Francisco$19,5631.1×62026-04-01
Providence Santa Rosa Memorial Hospital Santa Rosa$20,5981.2×42026-04-01
Keck Hospital Of Usc Los Angeles$21,0541.3×82026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$22,2921.4×92026-04-01
Good Samaritan Hospital San Jose$22,6151.2×62026-09-01
Los Angeles Community Hospital Los Angeles$23,0221.4×22026-03-18
Ronald Reagan Ucla Medical Center Los Angeles$23,5331.4×52026-03-29
Ucla West Valley Medical Center West Hills$23,5331.4×32026-03-29
Tri-City Medical Center Oceanside$24,7691.5×52026-05-29
Uci Health-Lakewood Lakewood$25,1821.5×62026-04-01
Southern California Hospital At Hollywood Hollywood$26,3771.6×32026-03-18
Memorialcare Orange Coast Medical Center Fountain Valley$27,1461.6×82026-04-01
Palomar Health Downtown Campus Escondido$28,4341.7×22026-04-01
University Of California Davis Medical Center Sacramento$29,8761.8×22026-04-01
Providence St Mary Medical Center Apple Valley$30,0221.8×42026-04-01
Palomar Medical Center Poway Poway$30,4491.8×12026-04-01
Riverside Community Hospital Riverside$31,0581.9×52026-09-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$31,3261.9×42026-03-29
Providence Redwood Memorial Hospital Fortuna$34,9262.1×42026-04-01
Memorialcare Long Beach Medical Center Long Beach$35,6672.2×72026-04-01
Kaiser Foundation Hospital - Los Angeles Los Angeles$37,9642.3×12026-04-01
Kaiser Foundation Hospital - Downey Downey$37,9642.3×12026-04-01
Kaiser Foundation Hospital - South Bay Harbor City$37,9642.3×12026-04-01
Kaiser Foundation Hospital - Zion San Diego$37,9642.3×12026-04-01
Kaiser Foundation Hospital - Woodland Hills Woodland Hills$37,9642.3×12026-04-01
Kaiser Foundation Hospital, Riverside Riverside$37,9642.3×12026-04-01
Kaiser Foundation Hospital - Baldwin Park Baldwin Park$37,9642.3×12026-04-01
Kaiser Foundation Hospital-Moreno Valley Moreno Valley$37,9642.3×12026-04-01
Kaiser Foundation Hospital - San Marcos San Marcos$37,9642.3×12026-04-01
Stanford Health Care Stanford$40,0512.1×42026-04-01
Cedars-Sinai Medical Center Los Angeles$40,2802.4×32025-11-26
Mission Community Hospital Panorama City$40,3322.4×32026-09-01
Los Robles Hospital & Medical Center Thousand Oaks$41,7262.5×42026-09-01
Kaiser Foundation Hospital - South San Francisco South San Francisco$48,6902.6×12026-04-01
Kaiser Foundation Hospital-Santa Clara Santa Clara$48,6902.6×12026-04-01
Kaiser Foundation Hospital - Walnut Creek Walnut Creek$48,6902.7×12026-04-01
Kaiser Foundation Hospital - San Francisco San Francisco$48,6902.6×12026-04-01
Regional Medical Center Of San Jose San Jose$48,6902.6×12026-04-01
Kaiser Foundation Hospital - Sacramento Sacramento$48,6902.9×12026-04-01
Kaiser Foundation Hospital - Fremont Fremont$48,6902.7×12026-04-01
Kaiser Foundation Hospital - Redwood City Redwood City$48,6902.6×12026-04-01
Kaiser Foundation Hospital-Santa Rosa Santa Rosa$48,6902.8×12026-04-01
Kaiser Foundation Hospital - Fresno Fresno$48,6903.0×12026-04-01
Kaiser Foundation Hospital - Antioch Antioch$48,6902.7×12026-04-01
Kaiser Foundation Hospital - Vacaville Vacaville$48,6902.7×12026-04-01
Kaiser Foundation Hospital - Roseville Roseville$48,6902.9×12026-04-01
Kaiser Foundation Hospital - San Leandro San Leandro$48,6902.7×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
College Medical Center Long Beach$21,9760.8×52026-07-01
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.0×32026-09-01
Clovis Community Medical Center Clovis$25,7831.0×22026-06-15
Chapman Global Medical Center Orange$26,4321.0×92026-05-06
Community Hospital Of Huntington Park Huntington Park$27,2711.1×122026-02-04
Oak Valley Hospital District Oakdale$27,5501.1×22026-07-17
San Gorgonio Memorial Hospital Banning$28,2061.1×52026-05-20
Coast Plaza Hospital Norwalk$28,2381.1×132026-02-04
Victor Valley Global Medical Center Victorville$29,0471.1×112026-05-13
Orange County Global Medical Center Santa Ana$29,1321.1×122026-06-15
Memorial Hospital Of Gardena Gardena$29,1671.1×132026-02-04
St Rose Hospital Hayward$29,8471.0×52026-02-23
South Coast Global Medical Center Santa Ana$30,1701.2×112026-06-15
East Los Angeles Doctors Hospital Los Angeles$30,8931.2×132026-02-04
Watsonville Community Hospital Watsonville$31,3411.1×172026-09-15
Scripps Mercy Hospital San Diego$31,4841.2×152026-03-30
Scripps Memorial Hospital La Jolla La Jolla$31,4841.2×132026-03-30
Scripps Green Hospital La Jolla$31,4841.2×152026-03-30
Good Samaritan Hospital San Jose$32,6781.1×102026-09-01
Hemet Global Medical Center Hemet$33,4121.3×12026-06-15
Menifee Global Medical Center Sun City$33,4121.3×12026-05-20
San Dimas Community Hospital San Dimas$34,0721.3×72026-09-01
Sonoma Valley Hospital Sonoma$34,3821.3×122026-05-22
Sherman Oaks Hospital Sherman Oaks$34,5041.3×52026-09-01
Scripps Memorial Hospital - Encinitas Encinitas$35,1461.4×142026-03-30
Encino Hospital Medical Center Encino$35,8061.4×42026-09-01
Providence Mission Hospital Mission Viejo$35,8651.4×62026-04-01
La Palma Intercommunity Hospital La Palma$36,3531.4×42026-09-01
Usc Verdugo Hills Hospital Glendale$37,0711.4×112026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$37,1381.4×32026-03-29
Usc Arcadia Hospital Arcadia$37,4091.4×62026-07-27
Paradise Valley Hospital National City$37,6001.4×62026-09-01
Riverside Community Hospital Riverside$37,6921.4×112026-09-01
Southern California Hospital At Hollywood Hollywood$37,7091.5×52026-03-18
Montclair Hospital Medical Center Montclair$38,4321.5×52026-09-01
Los Angeles Community Hospital Los Angeles$38,6721.5×62026-03-18
Tri-City Medical Center Oceanside$38,6801.5×42026-05-29
Providence St. Jude Medical Center Fullerton$38,7571.5×62026-04-01
Centinela Hospital Medical Center Inglewood$38,8221.5×42026-09-01
Barstow Community Hospital Barstow$39,5051.5×32026-09-17
Desert Valley Hospital Victorville$39,5131.5×72026-09-01
San Antonio Regional Hospital Upland$39,8621.5×142026-04-02
Providence St. Joseph Hospital Orange$40,2601.6×72026-04-01
Saint Agnes Medical Center Fresno$40,6801.6×42026-03-31
Chino Valley Medical Center Chino$41,6021.6×72026-09-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$41,7651.6×82026-04-01
Community Regional Medical Center Fresno$42,0311.6×22026-06-18
Foothill Regional Medical Center Tustin$42,4541.6×62026-03-18
St Mary's Medical Center San Francisco$42,5001.4×42026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$43,3861.7×82026-04-01
Providence Redwood Memorial Hospital Fortuna$43,5311.7×32026-04-01
Palomar Health Downtown Campus Escondido$45,0071.7×32026-04-01
Riverside University Health System-Medical Center Moreno Valley$45,0931.7×12026-03-30
San Joaquin General Hospital French Camp$45,7561.8×22026-04-01
Palomar Medical Center Poway Poway$45,7841.8×22026-04-01
Ronald Reagan Ucla Medical Center Los Angeles$46,2251.8×32026-03-29
Providence Holy Cross Medical Center Mission Hills$46,5721.8×72026-04-01
Mission Community Hospital Panorama City$46,7431.8×72026-09-01
Memorialcare Saddleback Medical Center Laguna Hills$46,8981.8×102026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$47,2521.8×82026-04-01
Providence Saint Joseph Medical Ctr Burbank$47,4981.8×82026-04-01
Cedars-Sinai Medical Center Los Angeles$47,6901.8×22025-11-26
Memorialcare Orange Coast Medical Center Fountain Valley$48,4831.9×102026-04-01
Saint John's Health Center Santa Monica$49,9961.9×62026-04-01
Ucla West Valley Medical Center West Hills$50,1441.9×22026-03-29
Memorialcare Long Beach Medical Center Long Beach$51,0592.0×132026-04-01
Shasta Regional Medical Center Redding$51,9332.0×42026-09-01
Fresno Surgical Hospital Fresno$52,3142.0×12026-06-16
Providence Queen Of The Valley Medical Center Napa$55,5152.1×52026-04-01
Providence St Mary Medical Center Apple Valley$57,3742.2×22026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$59,3152.3×12026-04-01
Keck Hospital Of Usc Los Angeles$60,9822.4×232026-04-01
Providence St Joseph Hospital Eureka$61,0162.4×42026-04-01
Loma Linda University Medical Center Loma Linda$65,9772.5×32026-09-02
Providence Santa Rosa Memorial Hospital Santa Rosa$69,9582.6×52026-04-01
Uci Health-Lakewood Lakewood$73,9002.9×142026-04-01
Lac/Olive View-Ucla Medical Center Sylmar$83,0533.2×12026-03-12
Lac/Harbor-Ucla Med Center Torrance$89,5233.5×12026-03-12
Loma Linda University Children'S Hospital Loma Linda$106,2354.1×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation Ctr Downey$119,9764.6×12026-03-12

Questions

How much do insurers pay for shoulder replacement revision in California?

109 California hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 46 hospitals is $17,969, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.