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Shoulder replacement revision in Maine: what insurers pay

Posted commercial rates at 17 Maine hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
Northern Light Mercy Hospital Portland$31,1842.4×22026-04-15
Northern Light C A Dean Hospital Greenville$31,1842.5×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$31,1842.5×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$31,1842.5×22026-03-30
Northern Light Mayo Hospital Dover Foxcroft$34,6062.7×22026-03-30
Northern Light Eastern Maine Medical Center Bangor$51,2674.1×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$51,2674.1×32026-03-30
Northern Light A R Gould Hospital Presque Isle$54,9074.3×32026-03-30

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Mainehealth Mid Coast Hospital Brunswick$44,9413.4×12025-09-09
Northern Light A R Gould Hospital Presque Isle$52,7224.2×32026-03-30
Northern Light Eastern Maine Medical Center Bangor$52,7224.2×32026-02-03
Northern Light Maine Coast Hospital Ellsworth$52,7224.2×32026-03-30
Mainehealth Franklin Hospital Farmington$55,8604.4×12025-09-09
Mainehealth Maine Medical Center Portland$56,5634.3×12025-09-09
Mainehealth Stephens Hospital Norway$59,1964.7×12025-09-09
Mainehealth Pen Bay Hospital Rockport$60,4724.8×12025-09-09
Northern Light Mercy Hospital Portland$61,2084.7×22026-04-15
Northern Light C A Dean Hospital Greenville$61,2084.8×22026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$61,2084.8×22026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$61,2084.8×22026-03-30
Mainehealth Waldo Hospital Belfast$63,2185.0×12025-09-09
Northern Light Mayo Hospital Dover Foxcroft$64,4665.1×22026-03-30
Mainehealth Lincoln Hospital Damariscotta$76,9566.1×12025-09-09

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
York Hospital York$21,3721.1×32026-07-04
Mainehealth Mid Coast Hospital Brunswick$46,0272.3×12025-09-09
Central Maine Medical Center Lewiston$50,0882.6×32026-06-25
Mainehealth Pen Bay Hospital Rockport$51,7212.7×12025-09-09
Northern Light Mercy Hospital Portland$70,6593.5×22026-04-15
Mainehealth Maine Medical Center Portland$72,8223.6×12025-09-09
Northern Light A R Gould Hospital Presque Isle$75,1683.9×42026-03-30
Northern Light Eastern Maine Medical Center Bangor$75,1683.9×42026-02-03
Northern Light Maine Coast Hospital Ellsworth$75,1683.9×42026-03-30
Northern Light C A Dean Hospital Greenville$83,8114.3×32026-03-30
Northern Light Blue Hill Memorial Hospital Blue Hill$83,8114.3×32026-03-30
Northern Light Mayo Hospital Dover Foxcroft$83,8114.3×32026-03-30
Northern Light Sebasticook Valley Hospital Pittsfield$83,8114.3×32026-03-30

Questions

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

17 Maine hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 8 hospitals is $32,895, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.