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Shoulder replacement revision in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$11,1440.7×42026-09-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$11,3650.8×32026-09-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$49,5522.1×62026-09-01
Medstar Georgetown University Hospital Washington$52,0122.2×52026-04-01
Medstar Washington Hospital Center Washington$58,3652.5×72026-04-01

Questions

How much do insurers pay for shoulder replacement revision in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 1 hospital is $11,144, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.