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Shoulder replacement revision in New York City

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 · insurerRate× MedicarePlans
Montefiore Medical Center median $12,916 · local Medicare $16,026 · file 2026-04-01
Aetna$24,4701.5×2
Cigna$9,7470.6×3
Elevance/Anthem/Empire$11,3080.7×11
EmblemHealth$12,2110.8×6
Healthfirst$13,6220.8×1
UnitedHealthcare$21,9081.4×4
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $24,258 · local Medicare $16,026 · file 2026-01-01
Aetna$21,3311.3×24
BCBS (other)$24,2581.5×16
Elevance/Anthem/Empire$24,2581.5×32
EmblemHealth$42,8132.7×51
UnitedHealthcare$34,8072.2×24
Hospital for Special Surgery median $40,057 · local Medicare $16,026 · file 2026-04-01
Aetna$14,4050.9×17
BCBS (other)$40,0572.5×3
Cigna$41,3592.6×13
Elevance/Anthem/Empire$43,9082.7×10
UnitedHealthcare$19,6891.2×25

CPT 23473

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $13,622 · local Medicare $16,026 · file 2026-04-01
1199SEIU$29,1741.8×1
Aetna$24,4701.5×2
Cigna$9,0290.6×2
Elevance/Anthem/Empire$11,3080.7×10
EmblemHealth$12,2110.8×6
Healthfirst$13,6220.8×1
UnitedHealthcare$18,8861.2×4
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $30,666 · local Medicare $16,026 · file 2026-01-01
1199SEIU$55,7563.5×3
Aetna$21,3311.3×24
BCBS (other)$26,5261.7×16
Elevance/Anthem/Empire$26,5261.7×32
EmblemHealth$42,8132.7×51
UnitedHealthcare$34,8072.2×24
Hospital for Special Surgery median $40,057 · local Medicare $16,026 · file 2026-04-01
Aetna$14,4050.9×17
BCBS (other)$40,0572.5×3
Cigna$41,3592.6×13
Elevance/Anthem/Empire$43,9082.7×10
UnitedHealthcare$13,7460.9×25

MS-DRG 483

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $25,051 · local Medicare $25,087 · file 2026-04-01
EmblemHealth$25,0511.0×1
Jamaica Hospital Medical Center median $45,140 · local Medicare $25,087 · file 2026-03-25
Aetna$45,1401.8×4
Cigna$45,3041.8×1
EmblemHealth$41,5231.7×3
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $51,946 · local Medicare $25,087 · file 2026-09-05
1199SEIU$36,5361.5×1
Aetna$51,9072.1×1
Cigna$54,4302.2×1
EmblemHealth$55,1282.2×2
MultiPlan/PHCS (rental network)$54,0522.2×1
Oscar$51,9842.1×1
UnitedHealthcare$43,7101.7×3
South Brooklyn Health median $51,946 · local Medicare $25,087 · file 2026-09-05
1199SEIU$36,5361.5×1
Aetna$51,9072.1×1
Cigna$54,4302.2×1
EmblemHealth$55,1282.2×2
MultiPlan/PHCS (rental network)$58,2762.3×1
Oscar$51,9842.1×1
UnitedHealthcare$51,3002.0×3
Elmhurst Hospital Center median $52,688 · local Medicare $25,087 · file 2026-09-05
1199SEIU$36,5361.5×1
Aetna$51,9072.1×1
Cigna$54,4302.2×1
EmblemHealth$55,1282.2×2
MultiPlan/PHCS (rental network)$74,1573.0×1
Oscar$51,9842.1×1
UnitedHealthcare$53,3912.1×4
Hospital for Special Surgery median $53,780 · local Medicare $25,087 · file 2026-04-01
Aetna$53,7802.1×17
BCBS (other)$42,5121.7×2
Cigna$51,5462.1×13
EmblemHealth$79,3863.2×14
UnitedHealthcare$73,3372.9×25
Jacobi Medical Center median $54,779 · local Medicare $25,087 · file 2026-09-05
1199SEIU$36,5361.5×1
Aetna$65,1622.6×1
Cigna$54,4302.2×1
EmblemHealth$55,1282.2×2
MultiPlan/PHCS (rental network)$74,8523.0×1
Oscar$51,9842.1×1
UnitedHealthcare$77,1453.1×3
Maimonides Medical Center median $80,289 · local Medicare $25,087 · file 2026-04-01
1199SEIU$47,6411.9×1
Aetna$80,8233.2×3
Cigna$79,8363.2×3
Elevance/Anthem/Empire$85,4223.4×2
EmblemHealth$79,5783.2×3
UnitedHealthcare$80,7423.2×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $88,959 · local Medicare $25,087 · file 2026-01-01
1199SEIU$88,9593.5×3
Aetna$72,3022.9×24
BCBS (other)$114,4214.6×25
Cigna$80,4073.2×22
Elevance/Anthem/Empire$114,4214.6×57
EmblemHealth$69,9492.8×51
UnitedHealthcare$105,8874.2×46

Questions

How much does shoulder replacement revision cost with commercial insurance in New York City?

3 New York City hospitals post usable commercial rates for CPT 23474, hospital outpatient. The median across hospitals is $24,258; hospital medians range from $12,916 to $40,057. Your cost depends on your plan's deductible and coinsurance.