Price Checker / CPT 23420
How much does Repair Of Shoulder cost?
CPT 23420 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 4.5x the fair price. This is well above fair — push back or dispute it.
Fair price
$4,500–$5,300
What this should cost
With insurance
~$4,050
Typical out-of-pocket
Overcharged if over
$6,650
Push back above this
The average hospital charge of $22,167 is $17,267 over the fair price (about 4.5x the fair rate).
What hospitals charge for Repair Of Shoulder
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Tanner Medical Center/Villa Rica Villa Rica, GA | $47,669 | — | 4790% |
| Jackson Park Hospital Chicago, IL | $35,407 | — | 3806% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 2130% |
| Ashley County Medical Center Crossett, AR | $2,385 | — | 642% |
| Mon Health Preston Memorial Hospital , WV | $5,155 | $2,577 | 469% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Repair Of Shoulder
CPT code 23420 refers to repair of shoulder (billing description: "Repair of shoulder"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $907 in a facility (hospital or surgery center) and $907 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.