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Shoulder replacement revision in Tennessee: what insurers pay

Posted commercial rates at 8 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 23474

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$10,7380.9×42026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$14,8281.2×22026-01-01
Ascension Saint Thomas Rutherford Murfreesboro$22,9011.9×12026-01-01

CPT 23473

HospitalMedian across insurers× MedicareInsurersFile date
Vanderbilt University Medical Center Nashville$12,8031.0×42025-10-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$14,8281.2×22026-01-01
TriStar StoneCrest Medical Center Smyrna$19,9041.6×42026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$22,9011.9×12026-01-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$20,3001.1×52026-01-01
TriStar Hendersonville Medical Center Hendersonville$20,5211.1×72026-09-01
TriStar Summit Medical Center Hermitage$20,5341.1×82026-09-01
TriStar StoneCrest Medical Center Smyrna$21,9291.2×72026-09-01
TriStar Skyline Medical Center Nashville$22,1371.2×82026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$22,4101.2×52026-01-01
Vanderbilt Wilson County Hospital Lebanon$45,7642.4×62025-10-01
Vanderbilt University Medical Center Nashville$57,6903.0×62025-10-01

Questions

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

8 Tennessee 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 $14,828, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.