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Shoulder replacement revision in Hawaii: what insurers pay

Posted commercial rates at 11 Hawaii hospitals, each next to its own Medicare base rate.

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
North Hawaii Community Hospital, Inc Kamuela$15,1181.0×32026-03-09
Kona Community Hospital Kealakekua$18,0231.2×12026-06-15

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Wilcox Memorial Hospital Lihue$16,7781.1×12026-02-12
Straub Clinic And Hospital Honolulu$16,7781.1×32026-02-12

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Molokai General Hospital Kaunakakai$32,1811.4×12026-02-16
Kohala Hospital Kapaau$36,8801.6×12026-06-15
Samuel Mahelona Memorial Hospital Kapaa$36,8801.6×12026-06-15
Honoka'A Hospital And Skilled Nursing Honokaa$36,8801.6×12026-06-15
Kauai Veterans Memorial Hospital Waimea$39,6721.7×12026-06-15
Kona Community Hospital Kealakekua$42,6621.8×22026-06-15
Hilo Benioff Medical Center Hilo$47,8152.0×12026-06-15
Wilcox Memorial Hospital Lihue$53,7742.3×22026-02-12
Straub Clinic And Hospital Honolulu$55,4742.4×22026-02-12
Pali Momi Medical Center Aiea$55,7452.4×22026-02-12
North Hawaii Community Hospital, Inc Kamuela$60,4982.6×22026-03-09

Questions

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

11 Hawaii hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 2 hospitals is $16,571, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.