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Shoulder replacement revision in Illinois: what insurers pay

Posted commercial rates at 12 Illinois hospitals, each next to its own Medicare base rate.

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$10,1860.7×32026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$12,9180.9×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$14,8321.1×22026-04-01
University of Chicago Medical Center Chicago$20,2911.5×22026-04-01
Endeavor Health Edward Hospital Naperville$22,1641.6×12026-04-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$9,4270.7×32026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$17,5281.3×12026-04-01
University of Chicago Medical Center Chicago$19,0511.4×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$22,1641.6×12026-04-01
Endeavor Health Edward Hospital Naperville$22,1641.6×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health Center Mattoon$22,0841.0×12026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$24,2011.1×32026-04-01
Endeavor Health Edward Hospital Naperville$27,9351.3×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$30,9791.5×32026-04-01
Endeavor Health Evanston Hospital Evanston$35,5671.7×32026-04-01
Alton Memorial Hospital Alton$36,6871.7×52025-12-15
Northwestern Medicine Central DuPage Hospital Winfield$36,8471.7×12026-04-01
Loyola University Medical Center Maywood$37,7171.8×42026-03-31
Rush University Medical Center Chicago$42,4472.0×42026-09-25
Advocate Christ Medical Center Oak Lawn$43,0782.0×42025-11-04
Advocate Lutheran General Hospital Park Ridge$43,0782.0×42025-11-04
University of Chicago Medical Center Chicago$51,5572.4×52026-04-01

Questions

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

12 Illinois hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 5 hospitals is $14,832, 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.