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Shoulder replacement revision in Pennsylvania: what insurers pay

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

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$7,8360.6×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,6580.7×32026-09-15
Riddle Memorial Hospital Media$12,7261.0×22026-04-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$10,1100.8×32026-09-15
Riddle Memorial Hospital Media$12,7261.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$12,7961.0×22026-04-01
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$25,0291.3×42026-03-06
Upmc St Margaret Pittsburgh$30,6591.6×12026-03-06
Upmc East Monroeville$31,0741.6×12026-03-06
Upmc Mercy Pittsburgh$31,5261.6×12026-03-06
Upmc Passavant Pittsburgh$36,1941.9×12026-03-07
Upmc Presbyterian Shadyside Pittsburgh$40,2832.1×12026-03-06
Jefferson Abington Hospital Abington$43,6122.3×62026-09-15
Riddle Memorial Hospital Media$43,7052.1×42026-04-01
Lehigh Valley Hospital Allentown$44,2892.2×52026-07-01
Paoli Hospital Paoli$44,4302.3×42026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$45,1642.4×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$47,9492.5×12026-03-06
Bryn Mawr Hospital Bryn Mawr$48,1722.4×42026-04-01
Temple University Hospital Philadelphia$51,4062.5×72026-04-13
Lankenau Medical Center Wynnewood$55,9502.9×42026-04-01
Jefferson Health-Northeast Philadelphia$56,5302.8×52026-09-15
Thomas Jefferson University Hospital Philadelphia$67,9353.4×52026-09-15

Questions

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

17 Pennsylvania hospitals post usable commercial rates for shoulder replacement revision in their federal price-transparency files. For CPT 23474, hospital outpatient, the median across 3 hospitals is $8,658, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.