Price Checker / CPT 23395

How much does Muscle Transfer Shoulder/arm cost?

CPT 23395 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 60x the fair price — among the most extreme markups. Dispute this.

Fair price

$4,300–$5,050

What this should cost

With insurance

~$3,950

Typical out-of-pocket

Overcharged if over

$6,300

Push back above this

The average hospital charge of $282,346 is $277,646 over the fair price (about 60x the fair rate).

What hospitals charge for Muscle Transfer Shoulder/arm

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Mat-Su Regional Medical Center

Palmer, AK

$448,82036485%
ST CHARLES HOSPITAL

PORT JEFFERSON, OH

$115,8713978%

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About Muscle Transfer Shoulder/arm

CPT code 23395 refers to muscle transfer shoulder/arm (billing description: "Muscle transfer shoulder/arm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,178 in a facility (hospital or surgery center) and $1,178 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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