Shoulder replacement Cost by Hospital

Shoulder replacement is a surgical procedure. Prices are from 1474 US hospitals across 52 states, from their machine-readable files.

$8,788median cash price · 1474 hospitals, 52 statestypically $2,082–$40,911 depending on the hospital
≈ 6.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$13,589
Cash / self-pay
$8,788
Insurer-negotiated
$17,098
Medicare pays
$1,300
$2,082$40,911
Median cash $8,788  ·  Medicare $1,300  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $8,788 — about 6.8× the Medicare rate ($1,300). High vs Medicare. A fair cash price is usually within ~2× Medicare ($2,601).

💡 Asking for the cash price instead of the $13,589 list price could save about $4,801 (35%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
United Memorial Medical Center Batavia, NY $1,419 $1,294 ★ 2/5 164 min 14.7%
Avera St Anthony's Hospital O' Neill, NE $1,428 $3,004 ★ 4/5 111 min 14.7%
Bassett Healthcare Cooperstown, NY $1,431 $1,922 ★ 2/5 199 min 15.6%
Ringgold County Hospital Mount Ayr, IA $1,470 — — 140 min 14.7%
Braxton County Memorial Hospital, Inc Gassaway, WV $1,496 — — 102 min 15.0%
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $1,496 — ★ 3/5 142 min 16.4%
Baptist Health Medical Center Heber Springs Heber Springs, AR $1,519 $18,352 ★ 3/5 115 min 15.2%
Mon Health Medical Center Morgantown, WV $1,537 $2,982 ★ 4/5 195 min 15.5%
Mon Health Marion Whitehall, WV $1,537 $2,982 — 90 min 15.1%
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $1,541 $1,257 ★ 4/5 111 min 14.5%
Cedar-Sinai Marina Del Rey Hospital Marina Del Rey, CA $1,551 $10,589 ★ 4/5 180 min 15.1%
Jefferson Health-Northeast Philadelphia, PA $1,563 $1,522 ★ 2/5 290 min 15.4%
Cameron Memorial Community Hospital Inc Angola, IN $1,565 $1,526 ★ 3/5 166 min 14.3%
Harrison Community Hospital Cadiz, OH $1,580 — — 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $1,580 $4,513 — 113 min 15.0%
Potomac Valley Hospital Keyser, WV $1,594 — ★ 1/5 118 min 15.5%
Jackson General Hospital Ripley, WV $1,594 — ★ 3/5 133 min 14.8%
Vanderbilt Bedford Hospital Shelbyville, TN $1,602 $2,484 ★ 4/5 123 min 13.6%
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,602 $2,285 ★ 3/5 173 min 15.1%
Kau Hospital Pahala, HI $1,606 — — 83 min —
Baylor Surgical Hospital at Las Colinas Irving, TX $1,676 $8,705 — 71 min 14.9%
Grove Hill Memorial Hospital Grove Hill, AL $1,733 $16,184 — 162 min —
Healdsburg Hospital Healdsburg, CA $1,772 $5,320 — 94 min 15.1%
Artesia General Hospital Artesia, NM $1,807 $17,820 — 101 min 15.0%
Salem Township Hospital Salem, IL $1,824 $1,563 ★ 4/5 149 min 14.9%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Shoulder replacement

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $8,788; Medicare pays $1,300.

InsurerHospitalsNegotiated median
Medicaid 121
$500
$75 – $3,173
Medicare 263
$576
$98 – $17,574
Univera 13
$1,171
$172 – $1,749
Tricare / VA 177
$1,378
$109 – $20,338
Centene / Ambetter 501
$1,425
$108 – $22,490
Geisinger 33
$1,450
$290 – $18,187
AmeriHealth 107
$1,450
$290 – $23,966
MVP Health Care 51
$1,474
$508 – $31,150
Independent Health 23
$1,806
$682 – $4,127
Highmark 91
$1,881
$109 – $34,995
Sanford Health Plan 33
$2,573
$508 – $23,068
Priority Health 39
$2,620
$508 – $17,077
Blue Cross Blue Shield 812
$3,107
$186 – $49,783
Health Net 114
$3,173
$222 – $31,798
Molina Healthcare 368
$3,173
$458 – $21,028
HealthPartners 95
$3,173
$508 – $19,017
UCare 39
$3,455
$985 – $19,310
MultiPlan / PHCS network 177
$3,839
$190 – $29,884
Harvard Pilgrim 24
$3,882
$508 – $19,156
Security Health Plan 28
$3,910
$508 – $18,402
Workers' Comp / No-Fault 43
$4,002
$1,488 – $28,676
Humana 694
$4,335
$576 – $20,492
Medica 64
$4,464
$1,029 – $18,690
Coventry 55
$4,620
$310 – $28,043
Aetna 862
$5,029
$1,100 – $26,990
SelectHealth 37
$5,307
$989 – $22,606
Anthem 346
$6,572
$186 – $42,599
UPMC Health Plan 59
$7,002
$1,483 – $37,648
Oscar Health 142
$7,276
$925 – $32,325
Cigna 575
$8,484
$1,541 – $33,471
Amerigroup 85
$8,805
$730 – $18,818
UnitedHealthcare 944
$16,745
$1,017 – $36,509
EmblemHealth 41
$18,107
$4,127 – $138,327
Bright Health 39
$19,564
$508 – $26,677
Kaiser Permanente 150
$20,483
$508 – $31,174
Devoted Health 189
$20,727
$16,588 – $22,392
AvMed 33
$23,133
$1,033 – $39,037
Healthcare Highways 34
$23,325
$9,733 – $42,583

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$2,040
New Hampshire$2,234
Vermont$2,419
Maine$3,013
Maryland$3,173
Iowa$3,580

Prices by city

Chicago, ILAustin, TXDallas, TXPittsburgh, PAFort Worth, TXHouston, TXKansas City, MONew York, NYSan Antonio, TXCharlotte, NCCincinnati, OHCleveland, OHLos Angeles, CAPhiladelphia, PAPlano, TXArlington, TXBronx, NYBrooklyn, NYNashville, TNOmaha, NERochester, NYSacramento, CAAurora, COColorado Springs, CO

Prices by state

TexasCaliforniaOhioWisconsinNew YorkFloridaPennsylvaniaIllinoisMinnesotaColoradoMichiganNorth CarolinaTennesseeIndianaLouisianaNew JerseyIowaArizonaKansasWashingtonMaineVirginiaMissouriGeorgiaWest VirginiaKentuckyMississippiNebraskaArkansasOklahomaIdahoUtahSouth CarolinaNorth DakotaAlabamaNew HampshireConnecticutMassachusettsMontanaNevadaOregonWyomingSouth DakotaNew MexicoPuerto RicoHawaiiAlaskaVermontMarylandDelaware

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Jonathan Levy, M.D.Orthopedic SurgeryBoca Raton, FL231
Derek Cuff, M.D.Orthopedic SurgeryVenice, FL204
Robert Brenner, M.D.Obstetrics & GynecologySarasota, FL187
Jacob Deister, M.D.Orthopedic SurgeryTopeka, KS175
Ryan Simovitch, M.D.Orthopedic SurgeryWest Palm Beach, FL168
Nathaniel NewaraPhysician AssistantWest Palm Beach, FL166
Steven Goldberg, MDOrthopedic SurgeryNaples, FL159
Julia Magers, ARNP-CNurse PractitionerNaples, FL147
Steven Hattrup, M.D.Orthopedic SurgeryPhoenix, AZ147
Casey Beleckas, MD, MSCOrthopedic SurgeryBoca Raton, FL147
Ryan Krupp, M.D.Orthopedic SurgeryLouisville, KY144
Kiet Le, PAPhysician AssistantWaltham, MA141

Browse doctors by specialty & city →

Does Medicare cover Shoulder replacement?

Yes — Medicare generally covers Shoulder replacement. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,300. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1474 US hospitals across 52 states, the typical (median) cash price is $8,788, versus a chargemaster (list) price around $13,589, a median insurer-negotiated rate of $17,098, a Medicare rate of about $1,300. Most cash prices fall between $2,082 and $40,911 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Shoulder replacement cost without insurance?
The median cash (self-pay) price across 1474 US hospitals is $8,788. Most hospitals fall between $2,082 and $40,911. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Shoulder replacement?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,300). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Shoulder replacement?
Medicare pays about $1,300. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Shoulder replacement prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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