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Shoulder replacement revision in Pennsylvania: what insurers pay

Posted commercial rates at 85 Pennsylvania 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
St Luke'S Hospital - Upper Bucks Campus Quakertown$6,6030.5×12026-02-26
Jefferson Abington Hospital Abington$6,8130.5×42026-09-15
Upmc Hamot Erie$7,1680.6×12026-03-06
Jefferson Lansdale Hospital Lansdale$7,3740.6×42026-09-15
Paoli Hospital Paoli$7,7440.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,8360.6×22026-04-01
Lankenau Medical Center Wynnewood$7,9220.6×22026-04-01
Upmc East Monroeville$8,9260.7×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,3840.7×42026-09-15
Upmc Lititz Lititz$9,5390.8×12026-03-06
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$13,7101.1×32026-09-21
Upmc Memorial York$22,3091.8×32026-03-06
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
St Luke'S Hospital - Easton Campus Easton$31,3982.4×12026-02-26
Wellspan Chambersburg Hospital Chambersburg$34,5562.7×12026-01-01
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$7,3740.6×42026-09-15
Jefferson Abington Hospital Abington$7,3740.6×42026-09-15
Upmc Mercy Pittsburgh$10,0040.8×22026-03-06
Thomas Jefferson University Hospital Philadelphia$10,2500.8×42026-09-15
Paoli Hospital Paoli$12,7261.0×22026-04-01
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,7961.0×22026-04-01
Lankenau Medical Center Wynnewood$12,7961.0×22026-04-01
Upmc Hamot Erie$14,4521.2×32026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$16,5101.3×22026-09-21
Temple University Hospital Philadelphia$17,3341.3×92026-04-13
Upmc Hanover Hanover$19,6671.6×32026-03-06
Upmc Carlisle Carlisle$19,6941.5×32026-03-06
Upmc Memorial York$22,3091.8×52026-03-06
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Jefferson Health-Northeast Philadelphia$24,6141.9×52026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$24,6142.0×52026-09-15
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
Forbes Hospital Monroeville$26,9212.1×62026-04-14
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01
St Luke'S Hospital Bethlehem Bethlehem$31,3982.4×32026-02-26
Allegheny General Hospital Pittsburgh$32,3862.6×62026-04-14
West Penn Hospital Pittsburgh$32,5372.6×62026-04-14
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$44,8283.4×22026-02-26
Lehigh Valley Hospital - Dickson City Dickson City$45,3943.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$51,4984.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$51,8514.2×82026-07-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$59,0584.5×82026-07-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$18,8491.0×32026-08-06
Upmc Cole Coudersport$19,5201.0×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$19,9331.0×72026-07-01
Conemaugh Miners Medical Center Hastings$21,1961.1×52026-07-30
Punxsutawney Area Hospital Punxsutawney$22,9931.2×72026-03-02
Upmc Horizon Greenville$23,1351.2×32026-03-06
Upmc Northwest Seneca$23,3761.2×22026-03-06
Nazareth Hospital Philadelphia$23,7311.2×12026-03-31
Upmc Bedford Memorial Everett$23,7981.2×22026-03-06
Upmc Kane Kane$24,1481.3×32026-03-06
Conemaugh Nason Medical Center Roaring Spring$24,3231.3×72026-07-30
Upmc Somerset Somerset$24,5241.3×42026-03-06
Titusville Area Hospital Titusville$25,4621.3×52026-09-11
Troy Community Hospital Troy$25,5721.3×52026-03-31
Upmc Jameson New Castle$26,0191.4×42026-03-06
Upmc Washington Washington$26,9621.4×72026-03-06
Uniontown Hospital Uniontown$27,3561.4×62026-07-09
Upmc East Monroeville$27,8521.4×22026-03-06
Upmc Hamot Erie$28,2041.5×32026-03-06
Upmc Mckeesport Mc Keesport$28,6511.5×22026-03-06
Upmc St Margaret Pittsburgh$29,6061.5×22026-03-06
Roxborough Memorial Hospital Philadelphia$30,2241.5×62024-06-21
Geisinger-Lewistown Hospital Lewistown$30,5801.6×72026-07-01
Upmc Mercy Pittsburgh$30,7711.6×22026-03-06
Upmc Passavant Pittsburgh$30,9651.6×22026-03-07
Conemaugh Memorial Medical Center Johnstown$31,2471.6×82026-04-15
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0261.7×52026-02-26
Wayne Memorial Hospital Honesdale$32,6761.7×62026-09-16
Lower Bucks Hospital Bristol$33,6261.8×62026-09-01
Holy Redeemer Hospital And Medical Center Meadowbrook$33,9061.8×62026-09-21
Temple Health - Chestnut Hill Hospital Philadelphia$34,6491.7×82026-04-08
Robert Packer Hospital Sayre$35,2951.8×72026-03-31
Upmc Altoona Altoona$35,9471.9×52026-03-06
Upmc Presbyterian Shadyside Pittsburgh$36,8221.9×22026-03-06
St Mary Medical Center Langhorne$36,8791.9×202026-03-31
St Luke'S Miners Memorial Hospital Coaldale$36,9951.9×42026-02-27
St Clair Hospital Pittsburgh$37,2271.9×72026-03-31
Magee Womens Hospital Of Upmc Health System Pittsburgh$37,9842.0×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$39,7532.1×62026-07-01
Jefferson Lansdale Hospital Lansdale$41,5772.2×92026-09-15
Upmc Williamsport Williamsport$41,8252.2×32026-03-06
Upmc Muncy Muncy$41,8252.2×32026-03-06
Upmc Wellsboro Wellsboro$41,8252.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$41,9642.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$41,9642.1×52026-02-27
Upmc Memorial York$43,1512.2×82026-03-06
Riddle Memorial Hospital Media$43,7052.1×42026-04-01
Geisinger St. Luke'S Hospital Orwigsburg$43,8582.3×42026-02-26
Lehigh Valley Hospital Allentown$44,2892.2×52026-07-01
Paoli Hospital Paoli$44,4302.3×42026-04-01
Upmc Lititz Lititz$44,4392.3×72026-03-06
St Luke'S Hospital - Easton Campus Easton$44,9452.2×42026-02-26
Hospital Of The Fox Chase Cancer Center Philadelphia$45,4852.2×52026-04-08
St Luke'S Hospital - Monroe Campus Stroudsburg$45,7532.4×52026-02-27
Jefferson Abington Hospital Abington$45,9222.4×92026-09-15
Bryn Mawr Hospital Bryn Mawr$48,1722.4×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$48,5082.4×72026-07-01
Wellspan Chambersburg Hospital Chambersburg$48,9162.5×32026-01-01
Lehigh Valley Hospital - Pocono East Stroudsburg$49,8062.6×62026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$49,8062.6×62026-07-01
Upmc Carlisle Carlisle$50,0502.5×72026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$50,8472.6×62026-09-15
Temple University Hospital Philadelphia$51,4062.5×102026-04-13
Penn State Health Holy Spirit Medical Center Camp Hill$52,2482.6×42026-03-27
Penn State Health St. Joseph Reading$52,2482.6×42026-03-27
Penn State Health Hampden Medical Center Enola$52,2482.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$52,2482.7×42026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$54,2172.8×72026-07-01
Upmc Hanover Hanover$55,8932.9×72026-03-06
Lankenau Medical Center Wynnewood$55,9502.9×42026-04-01
Jefferson Health-Northeast Philadelphia$57,1002.8×62026-09-15
Geisinger Community Medical Center Scranton$57,3083.0×82026-07-01
Wellspan Ephrata Community Hospital Ephrata$58,1213.0×52026-01-01
Wellspan Surgery And Rehabilitation Hospital York$64,1983.3×42026-01-01
Wellspan York Hospital York$73,1903.8×42026-01-01
Thomas Jefferson University Hospital Philadelphia$73,7303.6×92026-09-15

Questions

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

85 Pennsylvania hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 20 hospitals is $11,133, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.