Price AtlasInteractive atlas · All states · techysurgeon.comShoulder replacement revision in Washington DC
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 |
|---|---|---|---|
| George Washington Univ Hospital median $11,144 · local Medicare $15,167 · file 2026-09-01 | |||
| Cigna | $11,365 | 0.7× | 2 |
| Elevance/Anthem/Empire | $7,890 | 0.5× | 2 |
| Mdipa | $10,924 | 0.7× | 1 |
| UnitedHealthcare | $26,930 | 1.8× | 2 |
| Spotsylvania Regional Medical Center median $11,491 · local Medicare $13,283 · file 2026-09-01 | |||
| Bright Health | $10,932 | 0.8× | 1 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $12,050 | 0.9× | 4 |
| UnitedHealthcare | $7,385 | 0.6× | 1 |
| Inova Alexandria Hospital median $12,431 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $11,913 | 0.9× | 2 |
| Elevance/Anthem/Empire | $34,112 | 2.6× | 2 |
| Sentara Health | $11,413 | 0.9× | 2 |
| UnitedHealthcare | $12,949 | 1.0× | 2 |
| Inova Loudoun Hospital median $12,431 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $11,913 | 0.9× | 2 |
| Elevance/Anthem/Empire | $34,646 | 2.6× | 2 |
| Sentara Health | $11,413 | 0.9× | 2 |
| UnitedHealthcare | $12,949 | 1.0× | 2 |
| Inova Fair Oaks Hospital median $12,431 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $11,913 | 0.9× | 2 |
| Elevance/Anthem/Empire | $34,799 | 2.6× | 2 |
| Sentara Health | $11,413 | 0.9× | 2 |
| UnitedHealthcare | $12,949 | 1.0× | 2 |
| Inova Mount Vernon Hospital median $12,431 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $11,913 | 0.9× | 2 |
| Elevance/Anthem/Empire | $34,409 | 2.6× | 2 |
| Sentara Health | $11,413 | 0.9× | 2 |
| UnitedHealthcare | $12,949 | 1.0× | 2 |
| Reston Hospital Center median $13,641 · local Medicare $13,283 · file 2026-09-01 | |||
| Bright Health | $23,280 | 1.8× | 1 |
| CareFirst BCBS | $9,889 | 0.7× | 2 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $13,641 | 1.0× | 4 |
| UnitedHealthcare | $10,915 | 0.8× | 1 |
| Stonesprings Hospital Center median $13,690 · local Medicare $13,283 · file 2026-09-01 | |||
| Bright Health | $23,280 | 1.8× | 1 |
| CareFirst BCBS | $9,889 | 0.7× | 2 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $13,690 | 1.0× | 4 |
| UnitedHealthcare | $10,915 | 0.8× | 1 |
CPT 23473
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Inova Alexandria Hospital median $10,576 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $9,927 | 0.7× | 2 |
| Elevance/Anthem/Empire | $34,112 | 2.6× | 2 |
| Sentara Health | $9,511 | 0.7× | 2 |
| UnitedHealthcare | $11,225 | 0.8× | 2 |
| Inova Loudoun Hospital median $10,576 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $9,927 | 0.7× | 2 |
| Elevance/Anthem/Empire | $34,646 | 2.6× | 2 |
| Sentara Health | $9,511 | 0.7× | 2 |
| UnitedHealthcare | $11,225 | 0.8× | 2 |
| Inova Fair Oaks Hospital median $10,576 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $9,927 | 0.7× | 2 |
| Elevance/Anthem/Empire | $34,799 | 2.6× | 2 |
| Sentara Health | $9,511 | 0.7× | 2 |
| UnitedHealthcare | $11,225 | 0.8× | 2 |
| Inova Mount Vernon Hospital median $10,576 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $9,927 | 0.7× | 2 |
| Elevance/Anthem/Empire | $34,409 | 2.6× | 2 |
| Sentara Health | $9,511 | 0.7× | 2 |
| UnitedHealthcare | $11,225 | 0.8× | 2 |
| Inova Fairfax Hospital median $10,666 · local Medicare $13,283 · file 2026-04-01 | |||
| CareFirst BCBS | $9,927 | 0.7× | 2 |
| Elevance/Anthem/Empire | $35,177 | 2.6× | 2 |
| Sentara Health | $9,511 | 0.7× | 2 |
| UnitedHealthcare | $11,406 | 0.9× | 2 |
| George Washington Univ Hospital median $11,365 · local Medicare $15,167 · file 2026-09-01 | |||
| Cigna | $11,365 | 0.7× | 2 |
| Mdipa | $8,942 | 0.6× | 1 |
| UnitedHealthcare | $22,034 | 1.5× | 2 |
| Spotsylvania Regional Medical Center median $28,520 · local Medicare $13,283 · file 2026-09-01 | |||
| Aetna | $46,898 | 3.5× | 1 |
| Bright Health | $10,932 | 0.8× | 1 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $25,030 | 1.9× | 4 |
| Sentara Optima Health | $30,552 | 2.3× | 3 |
| UnitedHealthcare | $26,488 | 2.0× | 1 |
| Reston Hospital Center median $30,552 · local Medicare $13,283 · file 2026-09-01 | |||
| Aetna | $46,898 | 3.5× | 1 |
| Bright Health | $23,280 | 1.8× | 1 |
| CareFirst BCBS | $7,126 | 0.5× | 2 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $28,168 | 2.1× | 4 |
| Sentara Optima Health | $30,552 | 2.3× | 2 |
| UnitedHealthcare | $35,438 | 2.7× | 1 |
| Stonesprings Hospital Center median $30,552 · local Medicare $13,283 · file 2026-09-01 | |||
| Aetna | $46,898 | 3.5× | 1 |
| Bright Health | $23,280 | 1.8× | 1 |
| CareFirst BCBS | $7,126 | 0.5× | 2 |
| Cigna | $32,105 | 2.4× | 2 |
| Elevance/Anthem/Empire | $26,025 | 2.0× | 4 |
| Sentara Optima Health | $30,552 | 2.3× | 2 |
| UnitedHealthcare | $35,438 | 2.7× | 1 |
MS-DRG 483
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $21,972 · local Medicare $20,452 · file 2026-09-01 | |||
| Aetna | $21,972 | 1.1× | 1 |
| Bright Health | $21,693 | 1.1× | 2 |
| Cigna | $32,952 | 1.6× | 2 |
| Elevance/Anthem/Empire | $25,399 | 1.2× | 5 |
| Sentara Optima Health | $29,062 | 1.4× | 3 |
| UnitedHealthcare | $21,512 | 1.1× | 3 |
| Virginia Premier Health | $21,942 | 1.1× | 1 |
| Reston Hospital Center median $27,442 · local Medicare $20,452 · file 2026-09-01 | |||
| Aetna | $22,643 | 1.1× | 1 |
| Bright Health | $27,442 | 1.3× | 2 |
| CareFirst BCBS | $43,073 | 2.1× | 2 |
| Cigna | $32,952 | 1.6× | 2 |
| Elevance/Anthem/Empire | $37,648 | 1.8× | 5 |
| Pyramid Life | $24,385 | 1.2× | 1 |
| Sentara Optima Health | $29,062 | 1.4× | 2 |
| UnitedHealthcare | $21,614 | 1.1× | 2 |
| Virginia Premier Health | $22,612 | 1.1× | 1 |
| Stonesprings Hospital Center median $28,252 · local Medicare $20,452 · file 2026-09-01 | |||
| Aetna | $22,595 | 1.1× | 1 |
| Bright Health | $27,442 | 1.3× | 2 |
| CareFirst BCBS | $43,073 | 2.1× | 2 |
| Cigna | $32,952 | 1.6× | 2 |
| Elevance/Anthem/Empire | $40,287 | 2.0× | 5 |
| Sentara Optima Health | $29,062 | 1.4× | 2 |
| UnitedHealthcare | $21,569 | 1.1× | 2 |
| Virginia Premier Health | $22,564 | 1.1× | 1 |
| George Washington Univ Hospital median $49,552 · local Medicare $23,638 · file 2026-09-01 | |||
| Aetna | $56,927 | 2.4× | 1 |
| Cigna | $48,226 | 2.0× | 2 |
| Elevance/Anthem/Empire | $50,399 | 2.1× | 2 |
| Mdipa | $48,705 | 2.1× | 1 |
| Medstar | $33,611 | 1.4× | 1 |
| UnitedHealthcare | $82,262 | 3.5× | 2 |
| Inova Alexandria Hospital median $49,960 · local Medicare $20,452 · file 2026-04-01 | |||
| Aetna | $49,960 | 2.4× | 3 |
| CareFirst BCBS | $46,687 | 2.3× | 2 |
| Cigna | $55,380 | 2.7× | 2 |
| Elevance/Anthem/Empire | $48,028 | 2.3× | 2 |
| Innovation | $46,712 | 2.3× | 2 |
| Sentara Health | $53,265 | 2.6× | 2 |
| UnitedHealthcare | $68,070 | 3.3× | 2 |
| Inova Mount Vernon Hospital median $49,978 · local Medicare $20,452 · file 2026-04-01 | |||
| Aetna | $49,960 | 2.4× | 3 |
| CareFirst BCBS | $46,687 | 2.3× | 2 |
| Cigna | $55,380 | 2.7× | 2 |
| Elevance/Anthem/Empire | $49,978 | 2.4× | 2 |
| Innovation | $46,712 | 2.3× | 2 |
| Sentara Health | $53,265 | 2.6× | 2 |
| UnitedHealthcare | $68,070 | 3.3× | 2 |
| Inova Loudoun Hospital median $51,249 · local Medicare $20,452 · file 2026-04-01 | |||
| Aetna | $49,960 | 2.4× | 3 |
| CareFirst BCBS | $46,687 | 2.3× | 2 |
| Cigna | $55,380 | 2.7× | 2 |
| Elevance/Anthem/Empire | $51,249 | 2.5× | 2 |
| Innovation | $46,712 | 2.3× | 2 |
| Sentara Health | $53,265 | 2.6× | 2 |
| UnitedHealthcare | $68,070 | 3.3× | 2 |
| Inova Fairfax Hospital median $51,749 · local Medicare $20,452 · file 2026-04-01 | |||
| Aetna | $51,657 | 2.5× | 3 |
| CareFirst BCBS | $50,099 | 2.4× | 2 |
| Cigna | $56,195 | 2.7× | 2 |
| Elevance/Anthem/Empire | $51,749 | 2.5× | 2 |
| Innovation | $48,431 | 2.4× | 2 |
| Sentara Health | $57,897 | 2.8× | 2 |
| UnitedHealthcare | $68,911 | 3.4× | 2 |
| Medstar Georgetown University Hospital median $52,012 · local Medicare $23,638 · file 2026-04-01 | |||
| Aetna | $92,482 | 3.9× | 1 |
| CareFirst BCBS | $52,012 | 2.2× | 2 |
| Cigna | $79,254 | 3.4× | 2 |
| Health Care Service Corporation | $26,456 | 1.1× | 1 |
| UnitedHealthcare | $41,854 | 1.8× | 4 |
| Inova Fair Oaks Hospital median $52,213 · local Medicare $20,452 · file 2026-04-01 | |||
| Aetna | $49,960 | 2.4× | 3 |
| CareFirst BCBS | $46,687 | 2.3× | 2 |
| Cigna | $55,380 | 2.7× | 2 |
| Elevance/Anthem/Empire | $52,213 | 2.6× | 2 |
| Innovation | $46,712 | 2.3× | 2 |
| Sentara Health | $53,265 | 2.6× | 2 |
| UnitedHealthcare | $68,070 | 3.3× | 2 |
| Medstar Washington Hospital Center median $58,365 · local Medicare $23,638 · file 2026-04-01 | |||
| Aetna | $76,036 | 3.2× | 1 |
| CareFirst BCBS | $45,795 | 1.9× | 2 |
| Cigna | $75,437 | 3.2× | 2 |
| Health Care Service Corporation | $27,245 | 1.2× | 1 |
| Kaiser Permanente | $58,365 | 2.5× | 1 |
| Mamsi | $70,251 | 3.0× | 1 |
| UnitedHealthcare | $50,424 | 2.1× | 4 |
Questions
How much does shoulder replacement revision cost with commercial insurance in Washington DC?
8 Washington DC hospitals post usable commercial rates for CPT 23474, hospital outpatient. The median across hospitals is $12,431; hospital medians range from $11,144 to $13,690. Your cost depends on your plan's deductible and coinsurance.