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Shoulder replacement revision in Massachusetts: what insurers pay

Posted commercial rates at 24 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
Umass Memorial Medical Center Inc Worcester$13,3350.9×12026-03-26
South Shore Hospital South Weymouth$16,3141.1×22026-04-01
Beth Israel Deaconess Hospital-Milton Inc Milton$17,3761.1×12026-04-01
Winchester Hospital Winchester$18,6961.2×32026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$19,4181.3×22026-04-01
Beverly Hospital Corporation Beverly$19,6121.3×22026-04-01
Signature Healthcare Brockton Hospital Brockton$19,9521.3×22026-01-28
Beth Israel Deaconess Hospital - Needham Needham$21,0311.4×22026-04-01
New England Baptist Hospital Boston$21,2781.4×42026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$21,3601.4×22026-04-01
Mount Auburn Hospital Cambridge$21,4591.4×22026-04-01
Anna Jaques Hospital Newburyport$21,7131.4×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$22,2501.4×22026-04-01
Beth Israel Deaconess Medical Center Boston$24,0461.6×22026-04-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
South Shore Hospital South Weymouth$12,2520.8×32026-04-01
Beth Israel Deaconess Hospital-Milton Inc Milton$15,9641.0×12026-04-01
Winchester Hospital Winchester$17,1771.1×32026-04-01
Beverly Hospital Corporation Beverly$18,8281.2×22026-04-01
Signature Healthcare Brockton Hospital Brockton$19,1101.2×42026-01-28
Beth Israel Deaconess Hospital - Needham Needham$20,1191.3×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$20,4511.3×22026-04-01
Mount Auburn Hospital Cambridge$20,5341.3×22026-04-01
Anna Jaques Hospital Newburyport$20,8941.4×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$21,2041.4×22026-04-01
New England Baptist Hospital Boston$21,2781.4×42026-04-01
Beth Israel Deaconess Medical Center Boston$22,9111.5×22026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$19,6570.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$19,7620.8×22026-04-01
Anna Jaques Hospital Newburyport$20,8230.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$21,4380.9×22026-04-01
Massachusetts General Hospital Boston$23,0021.0×22026-03-27
Beth Israel Deaconess Hospital - Plymouth Plymouth$23,6331.0×12026-04-01
Mount Auburn Hospital Cambridge$24,5511.0×12026-04-01
Beverly Hospital Corporation Beverly$25,6401.1×12026-04-01
Winchester Hospital Winchester$25,6401.1×12026-04-01
Holyoke Medical Center Holyoke$27,3821.1×62026-05-01
Beth Israel Deaconess Medical Center Boston$27,6031.1×22026-04-01
New England Baptist Hospital Boston$29,5481.2×32026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$32,7471.4×32026-03-25
Lowell General Hospital Lowell$34,5681.4×72026-04-01
Tufts Medical Center Boston$35,0841.5×72026-04-01
Signature Healthcare Brockton Hospital Brockton$35,2961.5×52026-01-28
Umass Memorial Medical Center Inc Worcester$37,5061.6×12026-03-26
Fairview Hospital Great Barrington$37,8311.6×12026-03-25
North Adams Regional Hospital North Adams$37,8311.6×12026-03-25
Lahey Hospital & Medical Center, Burlington Burlington$40,4001.7×42026-04-01
Mercy Medical Ctr Springfield$45,7491.9×92026-03-31
Brigham and Women's Hospital Boston$47,8782.0×22026-03-27

Questions

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

24 Massachusetts hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 14 hospitals is $20,492, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.